| Marnita Stevenson Dmd Holdings, Llc | |
|
1680 E West Connector Ste 112 Austell GA 30106-1241 | |
| (770) 742-6330 | |
| Not Available |
| Full Name | Marnita Stevenson Dmd Holdings, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1680 E West Connector Ste 112, Austell, Georgia |
| Authorized Official Name and Position | Valerie Hamilton (DIRECTOR, PAYOR STRATEGY) |
| Authorized Official Contact | 3154105531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marnita Stevenson Dmd Holdings, Llc Po Box 70887 Cleveland OH 44190-0887 Ph: (315) 410-5531 | Marnita Stevenson Dmd Holdings, Llc 1680 E West Connector Ste 112 Austell GA 30106-1241 Ph: (770) 742-6330 |
| NPI Number | 1265265698 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265265698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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