Organization · Type 2 NPI
Dentistry N Orthodontics Kennesaw Point at Lilburn
Dental Clinic/Center · Lilburn, GA
NPI number
1043997430
Active
Practice location
733 Pleasant Hill Rd NW Ste 1202
Lilburn, GA 30047-2988
Fax (770) 557-1126
Mailing address
1350 Wooten Lake Rd NW Ste 203
Kennesaw, GA 30144-1346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1043997430
Dentistry N Orthodontics Kennesaw Point at Lilburn's National Provider Identifier is 1043997430, issued on Jun 28, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lilburn, GA. The record was last updated on Jun 28, 2023.