Organization
DENTISTRY N ORTHODONTICS KENNESAW POINT AT LILBURN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYANDUKHTA KALANTARI (OWNER)
(404) 563-6365
Entity
Organization
Contact information
Practice address
733 PLEASANT HILL RD NW STE 1202, LILBURN, GA 30047-2988
(678) 580-3060
(770) 557-1126
Mailing address
1350 WOOTEN LAKE RD NW STE 203, KENNESAW, GA 30144-1346
(678) 275-2066
(678) 275-2074
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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