Grace Pediatric Dental Care Llc | |
2115 Loganville Hwy Ste 101 Grayson GA 30017-1771 | |
(470) 508-0125 | |
Not Available |
Full Name | Grace Pediatric Dental Care Llc |
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Speciality | Clinic/center - Dental |
Location | 2115 Loganville Hwy Ste 101, Grayson, Georgia |
Authorized Official Name and Position | Tabitha Ikpechukwu Efobi (OWNER) |
Authorized Official Contact | 7578316852 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grace Pediatric Dental Care Llc 2115 Loganville Hwy Ste 101 Grayson GA 30017-1771 Ph: (470) 508-0125 | Grace Pediatric Dental Care Llc 2115 Loganville Hwy Ste 101 Grayson GA 30017-1771 Ph: (470) 508-0125 |
NPI Number | 1871258913 |
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Provider Enumeration Date | 11/03/2021 |
Last Update Date | 11/03/2021 |
Identifier | Type | State | Issuer |
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1871258913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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