Organization · Type 2 NPI

Nova Dental, PC

Dental Clinic/Center · Tyrone, GA

NPI number 1346582566 Active

Practice location

1134 Senoia Rd Ste A2
Tyrone, GA 30290-1622

Mailing address

31 Jessica Ln
Newnan, GA 30263-7069

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDN013488 (GA)

Dental Clinic/Center: Definition to come...

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About NPI 1346582566

Nova Dental, PC's National Provider Identifier is 1346582566, issued on Mar 26, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tyrone, GA. The record was last updated on Mar 26, 2013.