Carrollton Family Dentistry

NPI 1003968496 - Dentist - 1223G0001X

NPI Details
NPI 1003968496
Enumeration Date 01/17/2007
Last Updated 10/06/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PATRICIA PATRICIA
Position OFFICE MANAGER
Phone (770) 832-1376
Fax
Practice Location
101 CLINIC AVE
CARROLLTON GA, 30117-4413, US
Phone (770) 832-1376
Fax
Business Location
126 ENTERPRISE PATH
SUITE #106
HIRAM GA, 30141, US
Phone (770) 832-1376
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN012710
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According to our database, Carrollton Family Dentistry NPI is 1003968496, taxonomy code is 1223G0001X and license number is DN012710, license state is located at Georgia. Carrollton Family Dentistry physically located at 101 Clinic Ave, Carrollton GA, 30117-4413. NPI Number 1033115704 has the healthcare provider type.

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1003968496 NPI number is provided on an as is basis without warranty of any kind. 1003968496 is maintained by the National Plan & Provider Enumeration System. The contents of Carrollton Family Dentistry are for informational purposes only.