Organization · Type 2 NPI
Mouthpeace Dental 4, LLC
Dental Clinic/Center · Forest Park, GA
NPI number
1811516479
Active
Practice location
541 Forest Pkwy Ste 18
Forest Park, GA 30297-6110
Mailing address
2149 Brannen Rd SE
Atlanta, GA 30316-4117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Forest Park
About NPI 1811516479
Mouthpeace Dental 4, LLC's National Provider Identifier is 1811516479, issued on Apr 14, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Forest Park, GA. The record was last updated on Apr 14, 2020.