Mdg-marietta Llc | |
1070 Woodlawn Dr Ne Ste 250 Marietta GA 30068-4291 | |
(770) 977-8644 | |
Not Available |
Full Name | Mdg-marietta Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1070 Woodlawn Dr Ne Ste 250, Marietta, Georgia |
Authorized Official Name and Position | Robert Kellen Mcwhorter (DENTIST) |
Authorized Official Contact | 7709778644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mdg-marietta Llc 1070 Woodlawn Dr Ne Ste 250 Marietta GA 30068-4291 Ph: (770) 977-8644 | Mdg-marietta Llc 1070 Woodlawn Dr Ne Ste 250 Marietta GA 30068-4291 Ph: (770) 977-8644 |
NPI Number | 1023829777 |
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Provider Enumeration Date | 01/14/2025 |
Last Update Date | 01/14/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023829777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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