DENTISTRY FOR CHILDREN CDCOA LLC

ATLANTA, GA
NPI1144509852
Entity TypeOrganization
Authorized ContactTERESA BLAIR
Supervisor Of Medicaid
770-331-4014
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2011-08-11
Last Update Date2011-08-11
Business Address
DENTISTRY FOR CHILDREN CDCOA LLC
4536 CHAMBLEE DUNWOODY RD SUITE 211
ATLANTA, GA 30338-6200
Phone number: 770-331-4104
Mailing Address
DENTISTRY FOR CHILDREN CDCOA LLC
1350 SPRING ST NW STE 600
ATLANTA, GA 30309-2864
Phone number:
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