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East Cobb Nia Llc
Pediatric Dentist in Marietta, Georgia
NPI 1003366147

East Cobb Nia Llc is a Pediatric Dentist based in Marietta, GA and is specialized in Pediatric Dentistry. East Cobb Nia Llc practices in Marietta, GA. The NPI Number for East Cobb Nia Llc is 1003366147 and holds a License No. DN013543 (Georgia).

The current practice location address for East Cobb Nia Llc is 1111 Johnson Ferry Rd, Marietta, GA and can be reached out via phone at 770-479-9999.

Location: 1111 Johnson Ferry Rd, Marietta, GA, 30068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003366147
Provider Name
East Cobb Nia Llc
Credential
Provider Entity Type
Organization
Address
1111 Johnson Ferry Rd, Marietta, GA, 30068
Phone Number
770-479-9999
Fax Number
Provider Enumeration Date
10/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 Johnson Ferry Rd
City
Marietta
State
Georgia
Zip
30068-2181
Phone Number
770-479-9999
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Johnson Ferry Rd
City
Marietta
State
Georgia
Zip
30068-2181
Phone Number
770-479-9999
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013543 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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