Organization · Type 2 NPI
Providence Dental Spa of East Cobb, LLC
Dental Clinic/Center · Marietta, GA
NPI number
1467277228
Active
Practice location
670 Johnson Ferry Rd
Marietta, GA 30068-4627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1467277228
Providence Dental Spa of East Cobb, LLC's National Provider Identifier is 1467277228, issued on Nov 18, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Marietta, GA. The record was last updated on Nov 18, 2024.