| Kennesaw Mountain Dental Associates | |
|
1815 Old 41 Hwy Ste 310 Kennesaw GA 30152 | |
| (770) 425-4100 | |
| (770) 425-4111 |
| Full Name | Kennesaw Mountain Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1815 Old 41 Hwy, Kennesaw, Georgia |
| Authorized Official Name and Position | Hamir Contractor (OWNER) |
| Authorized Official Contact | 7704254100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennesaw Mountain Dental Associates 1815 Old 41 Hwy Ste 310 Kennesaw GA 30152 Ph: (770) 425-4100 | Kennesaw Mountain Dental Associates 1815 Old 41 Hwy Ste 310 Kennesaw GA 30152 Ph: (770) 425-4100 |
| NPI Number | 1184143059 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 09/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184143059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013236 (Georgia) | Primary |
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