Organization
KENT M. MATTISON, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT M MATTISON D.M.D. (PRESIDENT)
(770) 972-4666
Entity
Organization
Contact information
Practice address
2381 MAIN ST E STE B, SNELLVILLE, GA 30078-3358
(770) 972-4666
(770) 972-9054
Mailing address
2381 MAIN ST E STE B, SNELLVILLE, GA 30078-3358
(770) 972-4666
(770) 972-9054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008284
GA
Other
Enumeration date
03/10/2007
Last updated
08/22/2020
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