Organization · Type 2 NPI

Mustard Seed Pediatric Dentistry, LLC

Pediatric Dentistry · Suwanee, GA

NPI number 1093048563 Active

Practice location

1120 Peachtree Industrial Blvd, Suite 203 And 204
Suwanee, GA 30024-2013

Call (770) 904-7005 Map

Fax (770) 904-7075

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN013415 (GA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

10 other providers at this address

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About NPI 1093048563

Mustard Seed Pediatric Dentistry, LLC's National Provider Identifier is 1093048563, issued on Sep 15, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Suwanee, GA. The record was last updated on Sep 15, 2009.