| Marietta Family Dental Care, P.c. | |
|
4720 Lower Roswell Rd Marietta GA 30068-4240 | |
| (770) 973-8222 | |
| Not Available |
| Full Name | Marietta Family Dental Care, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4720 Lower Roswell Rd, Marietta, Georgia |
| Authorized Official Name and Position | Michael S Mansouri (OWNER/DENTIST) |
| Authorized Official Contact | 7709738222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta Family Dental Care, P.c. 4720 Lower Roswell Rd Marietta GA 30068-4240 Ph: (770) 973-8222 | Marietta Family Dental Care, P.c. 4720 Lower Roswell Rd Marietta GA 30068-4240 Ph: (770) 973-8222 |
| NPI Number | 1992966634 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992966634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012848 (Georgia) | Primary |
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