| Kids Dental, Pc | |
|
12 Rountree Rd Riverdale GA 30274-4036 | |
| (678) 479-7001 | |
| (678) 479-7007 |
| Full Name | Kids Dental, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12 Rountree Rd, Riverdale, Georgia |
| Authorized Official Name and Position | Monica Denise Mcintyre (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6784797001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental, Pc 12 Rountree Rd Riverdale GA 30274-4036 Ph: (678) 479-7001 | Kids Dental, Pc 12 Rountree Rd Riverdale GA 30274-4036 Ph: (678) 479-7001 |
| NPI Number | 1629190186 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629190186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012467 (Georgia) | Primary |
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