Milton Pediatric Dentistry And Orthodontics Corp | |
980 Birmingham Rd Ste 507 Milton GA 30004-4418 | |
(678) 352-1090 | |
Not Available |
Full Name | Milton Pediatric Dentistry And Orthodontics Corp |
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Speciality | Dentist - General Practice |
Location | 980 Birmingham Rd Ste 507, Milton, Georgia |
Authorized Official Name and Position | Vishant Nath (OWNER) |
Authorized Official Contact | 6787632600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Milton Pediatric Dentistry And Orthodontics Corp 570 W Crossville Rd Ste 203 Roswell GA 30075-7517 Ph: (678) 763-2600 | Milton Pediatric Dentistry And Orthodontics Corp 980 Birmingham Rd Ste 507 Milton GA 30004-4418 Ph: (678) 352-1090 |
NPI Number | 1205196870 |
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Provider Enumeration Date | 05/17/2012 |
Last Update Date | 06/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205196870 | NPI | - | NPPES |
761564386 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN013057 (Georgia) | Primary |
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