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175 White St Nw Suite 300 Marietta GA 30060-1053 | |
| (770) 422-6521 | |
| (770) 422-6525 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 175 White St Nw, Marietta, Georgia |
| Authorized Official Name and Position | James E Carter (OWNER/PRESIDENT) |
| Authorized Official Contact | 7708264233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
175 White St Nw Suite 300 Marietta GA 30060-1053 Ph: (770) 422-6521 | 175 White St Nw Suite 300 Marietta GA 30060-1053 Ph: (770) 422-6521 |
| NPI Number | 1093146078 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 12/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093146078 | NPI | - | NPPES |
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