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Modern Cosmetic Dental Care, Llc
Dental Clinic/Center in Covington, Georgia
NPI 1992103428

Modern Cosmetic Dental Care, Llc is a Dental Clinic/Center based in Covington, GA and is specialized in Dental. Modern Cosmetic Dental Care, Llc practices in Covington, GA. The NPI Number for Modern Cosmetic Dental Care, Llc is 1992103428 and holds a License No. DN011417 (Georgia).

The current practice location address for Modern Cosmetic Dental Care, Llc is 1750 Highway 11, Covington, GA and can be reached out via phone at 678-592-1125.

Location: 1750 Highway 11, Covington, GA, 30014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992103428
Provider Name
Modern Cosmetic Dental Care, Llc
Credential
Provider Entity Type
Organization
Address
1750 Highway 11, Covington, GA, 30014
Phone Number
678-592-1125
Fax Number
Provider Enumeration Date
12/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1750 Highway 11
City
Covington
State
Georgia
Zip
30014
Phone Number
678-592-1125
Fax Number
person
Provider Business Mailing Address Details
Address
1750 Highway 11
City
Covington
State
Georgia
Zip
30014
Phone Number
678-592-1125
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN011417 (Georgia)
Definition
Definition to come...
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