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2155 Cedarcrest Rd Acworth GA 30101-6274 | |
(770) 439-9119 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2155 Cedarcrest Rd, Acworth, Georgia |
Authorized Official Name and Position | Nicole Caride (CREDENTIALING MANAGER) |
Authorized Official Contact | 7277842721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (470) 207-3264 | 2155 Cedarcrest Rd Acworth GA 30101-6274 Ph: (770) 439-9119 |
NPI Number | 1598465395 |
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Provider Enumeration Date | 03/09/2023 |
Last Update Date | 01/21/2025 |
Identifier | Type | State | Issuer |
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1598465395 | NPI | - | NPPES |
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