| Pediatric Sedation Center Of Ga | |
|
8180 Mall Pkwy Ste 810 Lithonia GA 30038-6911 | |
| (470) 395-2518 | |
| (470) 243-7395 |
| Full Name | Pediatric Sedation Center Of Ga |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8180 Mall Pkwy Ste 810, Lithonia, Georgia |
| Authorized Official Name and Position | Serenthes Fields (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6785992333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Sedation Center Of Ga 8180 Mall Pkwy Ste 810 Lithonia GA 30038-6911 Ph: (470) 395-2518 | Pediatric Sedation Center Of Ga 8180 Mall Pkwy Ste 810 Lithonia GA 30038-6911 Ph: (470) 395-2518 |
| NPI Number | 1053034785 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053034785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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