| Mc Dental Llc | |
|
3615 Charles Hardy Pkwy Ste 200 Dallas GA 30157-9472 | |
| (770) 767-5546 | |
| (770) 505-5206 |
| Full Name | Mc Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 3615 Charles Hardy Pkwy Ste 200, Dallas, Georgia |
| Authorized Official Name and Position | Theresa Chung (PRESIDENT- WALMART HEALTH DENTAL) |
| Authorized Official Contact | 7076755546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mc Dental Llc 702 Sw 8th St Bentonville AR 72716-0445 Ph: (479) 204-1258 | Mc Dental Llc 3615 Charles Hardy Pkwy Ste 200 Dallas GA 30157-9472 Ph: (770) 767-5546 |
| NPI Number | 1174181119 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174181119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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