| Kennesaw Pediatric Dentistry | |
|
600 Chastain Rd Nw Suite 426 Kennesaw GA 30144-3004 | |
| (770) 651-1000 | |
| Not Available |
| Full Name | Kennesaw Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 600 Chastain Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Vishant Nath (DENTIST) |
| Authorized Official Contact | 7706511000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennesaw Pediatric Dentistry 600 Chastain Rd Nw Suite 426 Kennesaw GA 30144-3004 Ph: (770) 651-1000 | Kennesaw Pediatric Dentistry 600 Chastain Rd Nw Suite 426 Kennesaw GA 30144-3004 Ph: (770) 651-1000 |
| NPI Number | 1942743844 |
|---|---|
| Provider Enumeration Date | 11/23/2016 |
| Last Update Date | 11/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942743844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013057 (Georgia) | Primary |
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