Organization · Type 2 NPI
Excellent Dental Providers, PC
Dental Clinic/Center · Stone Mountain, GA
NPI number
1366953929
Active
Practice location
1001 Main St Ste F
Stone Mountain, GA 30083-2922
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 1366953929
Excellent Dental Providers, PC's National Provider Identifier is 1366953929, issued on Oct 22, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Stone Mountain, GA. The record was last updated on Oct 22, 2017.