CENTERS FOR PEDIATRIC DENTAL SEDATION LLC

COLLEGE PARK, GA
NPI1396108056
Entity TypeOrganization
Authorized ContactMARCUS QURAN POLK
Anesthesiologist
404-403-4567
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: GA  040758)
Enumeration Date2016-03-31
Last Update Date2016-03-31
Business Address
CENTERS FOR PEDIATRIC DENTAL SEDATION LLC
1631 PHOENIX BLVD STE 8
COLLEGE PARK, GA 30349-5545
Phone number: 678-545-1682
Mailing Address
CENTERS FOR PEDIATRIC DENTAL SEDATION LLC
PO BOX 370160
DECATUR, GA 30037-0160
Phone number: 404-403-4567