| Wonderland Pediatric Dentistry, Pc | |
|
1570 Old Alabama Rd Ste 104 Roswell GA 30076-2108 | |
| (678) 878-3711 | |
| (678) 878-3714 |
| Full Name | Wonderland Pediatric Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1570 Old Alabama Rd Ste 104, Roswell, Georgia |
| Authorized Official Name and Position | Karina Bogdasarova (OWNER) |
| Authorized Official Contact | 7204048805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderland Pediatric Dentistry, Pc 1570 Old Alabama Rd Ste 104 Roswell GA 30076-2108 Ph: (678) 878-3711 | Wonderland Pediatric Dentistry, Pc 1570 Old Alabama Rd Ste 104 Roswell GA 30076-2108 Ph: (678) 878-3711 |
| NPI Number | 1134521990 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134521990 | NPI | - | NPPES |
| 003146415 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN 014759 (Georgia) | Primary |
Nathan Cherof Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 S Atlanta St Ste 100, Roswell, GA 30075 Phone: 770-248-9215 | |
Smith & Rockefeller, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1178 Grimes Bridge Rd, Ste 100, Roswell, GA 30075 Phone: 770-992-7550 Fax: 770-992-7868 | |
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Family Orthodontics Of Rw, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 Etris Rd, Roswell, GA 30075 Phone: 678-445-9191 Fax: 678-445-9173 | |
Todays Dentist, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 W Crossville Rd, Roswell, GA 30075 Phone: 770-587-2727 | |
Daniel O'shea Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4648 Woodstock Rd Ste 250, Roswell, GA 30075 Phone: 470-508-0015 |