| Main Street Dental Of Cartersville, P.c. | |
|
328 E Main St Ste 102 Cartersville GA 30120-3278 | |
| (770) 382-1516 | |
| Not Available |
| Full Name | Main Street Dental Of Cartersville, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 328 E Main St Ste 102, Cartersville, Georgia |
| Authorized Official Name and Position | Denny Y Lim (OFFICER) |
| Authorized Official Contact | 7703821516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Of Cartersville, P.c. 328 E. Main Street Suite 102 Cartersville GA 30120 Ph: (770) 382-1516 | Main Street Dental Of Cartersville, P.c. 328 E Main St Ste 102 Cartersville GA 30120-3278 Ph: (770) 382-1516 |
| NPI Number | 1538420591 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538420591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20211364798 (Georgia) | Primary |
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