Pedozone, Llc | |
8879 Dallas Acworth Hwy Dallas GA 30132-7905 | |
(770) 974-3633 | |
(770) 974-3660 |
Full Name | Pedozone, Llc |
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Speciality | Clinic/center - Dental |
Location | 8879 Dallas Acworth Hwy, Dallas, Georgia |
Authorized Official Name and Position | Crystal Deann Smith (TREATMENT COORDINATOR) |
Authorized Official Contact | 7709743633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pedozone, Llc 3104 Creekside Village Dr Nw Ste 401 Kennesaw GA 30144-2393 Ph: (770) 974-3633 | Pedozone, Llc 8879 Dallas Acworth Hwy Dallas GA 30132-7905 Ph: (770) 974-3633 |
NPI Number | 1952812737 |
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Provider Enumeration Date | 10/19/2017 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
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1952812737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DNO14556 (Georgia) | Primary |
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