| Kidz Tooth Zone, Llc | |
|
907 Pavilion Ct Mcdonough GA 30253-6665 | |
| (678) 272-6195 | |
| (678) 759-1926 |
| Full Name | Kidz Tooth Zone, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 907 Pavilion Ct, Mcdonough, Georgia |
| Authorized Official Name and Position | Carolyn Wilmer Williams (MANAGING MEMBER) |
| Authorized Official Contact | 4049608208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz Tooth Zone, Llc 907 Pavilion Ct Mcdonough GA 30253-6665 Ph: (678) 272-6195 | Kidz Tooth Zone, Llc 907 Pavilion Ct Mcdonough GA 30253-6665 Ph: (678) 272-6195 |
| NPI Number | 1497222053 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 10/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497222053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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