| Kennesaw Dental Associates, P,c. | |
|
3600 Cherokee St Nw Suite 117 Kennesaw GA 30144-2027 | |
| (770) 424-8077 | |
| (770) 499-1929 |
| Full Name | Kennesaw Dental Associates, P,c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3600 Cherokee St Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | David Eric Olson (PRESIDENT/OWNER) |
| Authorized Official Contact | 7704248077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennesaw Dental Associates, P,c. 3600 Cherokee St Nw Suite 117 Kennesaw GA 30144-2027 Ph: (770) 424-8077 | Kennesaw Dental Associates, P,c. 3600 Cherokee St Nw Suite 117 Kennesaw GA 30144-2027 Ph: (770) 424-8077 |
| NPI Number | 1972779528 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972779528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN010233 (Georgia) | Primary |
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