| Merchants Walk Dental Pc | |
|
1344 E Cobb Dr Ste 100 Marietta GA 30068-2726 | |
| (770) 961-5055 | |
| Not Available |
| Full Name | Merchants Walk Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1344 E Cobb Dr Ste 100, Marietta, Georgia |
| Authorized Official Name and Position | John Bishara (OWNER) |
| Authorized Official Contact | 6787544673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merchants Walk Dental Pc 3760 Old College Way Marietta GA 30062-5964 Ph: (678) 754-4673 | Merchants Walk Dental Pc 1344 E Cobb Dr Ste 100 Marietta GA 30068-2726 Ph: (770) 961-5055 |
| NPI Number | 1932833217 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932833217 | NPI | - | NPPES |
| 1336163955 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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