| Providence Dental Spa Of East Cobb, Llc | |
|
670 Johnson Ferry Rd Marietta GA 30068-4627 | |
| (678) 801-6700 | |
| Not Available |
| Full Name | Providence Dental Spa Of East Cobb, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 670 Johnson Ferry Rd, Marietta, Georgia |
| Authorized Official Name and Position | Heather Taylor (DIRECTOR) |
| Authorized Official Contact | 4703098888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Dental Spa Of East Cobb, Llc 670 Johnson Ferry Rd Marietta GA 30068-4627 Ph: (678) 801-6700 | Providence Dental Spa Of East Cobb, Llc 670 Johnson Ferry Rd Marietta GA 30068-4627 Ph: (678) 801-6700 |
| NPI Number | 1467277228 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467277228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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