| Sprout Pediatric Dentistry Llc | |
|
3495 Peachtree Pkwy Ste 115 Suwanee GA 30024-9101 | |
| (678) 408-2121 | |
| (678) 408-2121 |
| Full Name | Sprout Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3495 Peachtree Pkwy Ste 115, Suwanee, Georgia |
| Authorized Official Name and Position | Jee-eun Kim (OWNER) |
| Authorized Official Contact | 6784082121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Pediatric Dentistry Llc 3495 Peachtree Pkwy Ste 115 Suwanee GA 30024-9101 Ph: () - | Sprout Pediatric Dentistry Llc 3495 Peachtree Pkwy Ste 115 Suwanee GA 30024-9101 Ph: (678) 408-2121 |
| NPI Number | 1336889435 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336889435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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