Organization · Type 2 NPI
Modern Dental Center
Customized Equipment (DME) · Marietta, GA
NPI number
1093563751
Active
Practice location
4608 Lower Roswell Rd
Marietta, GA 30068-4237
Fax (770) 615-6511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
3 other providers at this address
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- On the Go Medical, LLCCustomized Equipment (DME) Marietta, GA NPI 1497800551
About NPI 1093563751
Modern Dental Center's National Provider Identifier is 1093563751, issued on May 8, 2024. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Marietta, GA. The record was last updated on Sep 25, 2024.