| Family Dentistry Of Marietta, Llc | |
|
2125 Post Oak Tritt Rd Marietta GA 30062-1609 | |
| (770) 977-9090 | |
| Not Available |
| Full Name | Family Dentistry Of Marietta, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2125 Post Oak Tritt Rd, Marietta, Georgia |
| Authorized Official Name and Position | Logan V Gordon (BUSINESS MANAGER) |
| Authorized Official Contact | 7709779090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Marietta, Llc 2125 Post Oak Tritt Rd Marietta GA 30062-1609 Ph: (770) 977-9090 | Family Dentistry Of Marietta, Llc 2125 Post Oak Tritt Rd Marietta GA 30062-1609 Ph: (770) 977-9090 |
| NPI Number | 1972837318 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972837318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012338 (Georgia) | Primary |
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