Organization · Type 2 NPI
Childrens Dentistry of Lithonia LLC
Dental Clinic/Center · Stone Mountain, GA
NPI number
1730348210
Active
Practice location
374 C North Deshon Road
Stone Mountain, GA 30087
Fax (770) 469-4195
Mailing address
PO Box 870272
Stone Mountain, GA 30087-0007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN013400 (GA) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Stone Mountain
About NPI 1730348210
Childrens Dentistry of Lithonia LLC's National Provider Identifier is 1730348210, issued on Jun 9, 2008. 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 Jun 9, 2008.