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Organization
DENTAL NOW KIDS LLC
Active
Organization
DENTAL NOW KIDS LLC
Active
Other names
Dental Now Kids LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA ZUNIGA (CREDENTIALING SPECIALIST)
(678) 831-4414
Entity
Organization
Contact information
Practice address
4151 STEVE REYNOLDS BLVD STE 2, NORCROSS, GA 30093-3060
(678) 831-4414
Mailing address
4151 STEVE REYNOLDS BLVD STE 2, NORCROSS, GA 30093-3060
(678) 831-4414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003214417I
—
GA
Enumeration date
02/21/2020
Last updated
02/21/2020
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