Organization
PEDIATRIC SEDATION CENTER OF GA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENTHES FIELDS (CREDENTIALING SPECIALIST)
(678) 599-2333
Entity
Organization
Contact information
Practice address
8180 MALL PKWY STE 810, LITHONIA, GA 30038-6911
(470) 395-2518
(470) 243-7395
Mailing address
8180 MALL PKWY STE 810, LITHONIA, GA 30038-6911
(470) 395-2518
(470) 243-7395
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
11/28/2022
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