Organization · Type 2 NPI

Wonderland Pediatric Dentistry, PC

Pediatric Dentistry · Roswell, GA

NPI number 1134521990 Active

Practice location

1570 Old Alabama Rd Ste 104
Roswell, GA 30076-2108

Fax (678) 878-3714

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN 014759 (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.

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About NPI 1134521990

Wonderland Pediatric Dentistry, PC's National Provider Identifier is 1134521990, issued on Sep 23, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Roswell, GA. The record was last updated on Sep 23, 2014.