Organization · Type 2 NPI
Modern Cosmetic Dental Care, LLC
Dental Clinic/Center · Covington, GA
NPI number
1992103428
Active
Practice location
1750 Highway 11, Suite B
Covington, GA 30014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN011417 (GA) |
Dental Clinic/Center: Definition to come...
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About NPI 1992103428
Modern Cosmetic Dental Care, LLC's National Provider Identifier is 1992103428, issued on Dec 16, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Covington, GA. The record was last updated on Dec 16, 2014.