institution
Childrens Dentistry Of Lithonia Llc
Dental Clinic/Center in Stone Mountain, Georgia
NPI 1730348210

Childrens Dentistry Of Lithonia Llc is a Dental Clinic/Center based in Stone Mountain, GA and is specialized in Dental. Childrens Dentistry Of Lithonia Llc practices in Stone Mountain, GA. The NPI Number for Childrens Dentistry Of Lithonia Llc is 1730348210 and holds a License No. DN013400 (Georgia).

The current practice location address for Childrens Dentistry Of Lithonia Llc is 374 C North Deshon Road, Stone Mountain, GA and can be reached out via phone at 770-469-4192 and via fax at 770-469-4195.

Location: 374 C North Deshon Road, Stone Mountain, GA, 30087-0007
institution
Provider Profile Details
NPI Number
1730348210
Provider Name
Childrens Dentistry Of Lithonia Llc
Credential
Provider Entity Type
Organization
Address
374 C North Deshon Road, Stone Mountain, GA, 30087-0007
Phone Number
770-469-4192
Fax Number
770-469-4195
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952449944 01 INDIVIDUAL NPI
853805701A 05 GA
institution
Provider Business Practice Location Address Details
Address
374 C North Deshon Road
City
State
Zip
30087
Phone Number
770-469-4192
Fax Number
770-469-4195
person
Provider Business Mailing Address Details
Address
374 C North Deshon Road
City
State
Zip
30087
Phone Number
770-469-4192
Fax Number
770-469-4195
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DN013400 (Georgia)
Definition
Definition to come...
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