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Kdnga Llc
Pediatric Dentist in Gainesville, Georgia
NPI 1598334906

Kdnga Llc is a Pediatric Dentist based in Gainesville, GA and is specialized in Pediatric Dentistry. Kdnga Llc practices in Gainesville, GA. The NPI Number for Kdnga Llc is 1598334906 and holds a License No. (Georgia).

The current practice location address for Kdnga Llc is 1207 Sherwood Park Dr Ne, Gainesville, GA and can be reached out via phone at 678-450-7011 and via fax at 678-971-4201.

Location: 1207 Sherwood Park Dr Ne, Gainesville, GA, 30501-3444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598334906
Provider Name
Kdnga Llc
Credential
Provider Entity Type
Organization
Address
1207 Sherwood Park Dr Ne, Gainesville, GA, 30501-3444
Phone Number
678-450-7011
Fax Number
678-971-4201
Provider Enumeration Date
06/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003175666B 05 GA
1790049047 01 GA NPI
1790985620 01 GA NPI
801406612B 05 GA
institution
Provider Business Practice Location Address Details
Address
1207 Sherwood Park Dr Ne
City
Gainesville
State
Georgia
Zip
30501-3444
Phone Number
678-450-7011
Fax Number
678-971-4201
person
Provider Business Mailing Address Details
Address
1207 Sherwood Park Dr Ne
City
Gainesville
State
Georgia
Zip
30501-3444
Phone Number
678-450-7011
Fax Number
678-971-4201
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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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