Organization
MODERN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANNA KOVITCH DMD (DENTIST/OWNER)
(770) 615-6510
Entity
Organization
Contact information
Practice address
4608 LOWER ROSWELL RD, MARIETTA, GA 30068-4237
(770) 615-6510
(770) 615-6511
Mailing address
4608 LOWER ROSWELL RD, MARIETTA, GA 30068-4237
(770) 615-6510
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
09/25/2024
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