Organization
DREAM PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY DAWSON DMD (PARTNER)
(478) 955-6125
Entity
Organization
Contact information
Practice address
2143 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2406
(470) 541-2426
Mailing address
2143 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2406
(470) 541-2426
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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