Organization
ALL FOR KIDS DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIAN MILLER DDS (OWNER/PEDIATRIC DENTIST)
(770) 784-7099
Entity
Organization
Contact information
Practice address
4115 TATE ST NE, COVINGTON, GA 30014-2554
(770) 784-7099
(770) 784-5283
Mailing address
4115 TATE ST NE, COVINGTON, GA 30014-2554
(770) 784-7099
(770) 784-5283
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013969
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602316299D
—
GA
Enumeration date
08/23/2013
Last updated
08/23/2013
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