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1871813295
LEGACY PEDO LLC
KENNESAW, GA
NPI
1871813295
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Entity Type
Organization
Authorized Contact
MICHAEL REZNIK
Owner
770-777-7427
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2010-06-08
Last Update Date
2010-06-08
Business Address
LEGACY PEDO LLC
3903 JILES RD NW #210
KENNESAW, GA 30144-4612
Phone number: 770-590-9050
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Mailing Address
LEGACY PEDO LLC
3903 JILES RD NW #210
KENNESAW, GA 30144-4612
Phone number: 770-590-9050
Copy
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