| Mcdonough Endodontic Center | |
|
1705 Hwy 20 W Suite 200 Mcdonough GA 30253 | |
| (770) 954-8672 | |
| (770) 954-0074 |
| Full Name | Mcdonough Endodontic Center |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1705 Hwy 20 W, Mcdonough, Georgia |
| Authorized Official Name and Position | Rolin Desir (ENDODONTIST / OWNER) |
| Authorized Official Contact | 7709540072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdonough Endodontic Center 1705 Hwy 20 W Suite 200 Mcdonough GA 30253 Ph: (770) 954-0072 | Mcdonough Endodontic Center 1705 Hwy 20 W Suite 200 Mcdonough GA 30253 Ph: (770) 954-8672 |
| NPI Number | 1689961229 |
|---|---|
| Provider Enumeration Date | 07/04/2011 |
| Last Update Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689961229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN013945 (Georgia) | Primary |
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