Organization
MDG-MARIETTA LLC
Active
Other names
Bradberry Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KELLEN MCWHORTER DMD (DENTIST)
(770) 977-8644
Entity
Organization
Contact information
Practice address
1070 WOODLAWN DR NE STE 250, MARIETTA, GA 30068-4291
(770) 977-8644
Mailing address
1070 WOODLAWN DR NE STE 250, MARIETTA, GA 30068-4291
(770) 977-8644
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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