Organization
HEARTLAND DENTAL CARE OF GEORGIA
Active
Parent organization
HEARTLAND DENTAL CARE OF GEORGIA
Other names
Family Dental of Canton
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL CARE OF GEORGIA
Authorized official
JEAN CORNELL (CREDENTIALING COORDINATOR)
(217) 540-8329
Entity
Organization
Contact information
Practice address
3237 SIXES RD, CANTON, GA 30114
(770) 450-1689
Mailing address
3237 SIXES RD, CANTON, GA 30114
(770) 450-1689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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