| Kidz Korner Dentistry Llc | |
|
143 Canal St Ste 400 Pooler GA 31322-6007 | |
| (912) 856-1486 | |
| Not Available |
| Full Name | Kidz Korner Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 143 Canal St Ste 400, Pooler, Georgia |
| Authorized Official Name and Position | Shana K Herring (DENTIST/OWNER) |
| Authorized Official Contact | 9122381264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz Korner Dentistry Llc 143 Canal St Ste 400 Pooler GA 31322-6007 Ph: (912) 856-1486 | Kidz Korner Dentistry Llc 143 Canal St Ste 400 Pooler GA 31322-6007 Ph: (912) 856-1486 |
| NPI Number | 1881859163 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881859163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012328 (Georgia) | Primary |
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