Organization
MY KIDZ DENTIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONA BIBBS D.D.S. (PRESIDENT)
(770) 253-4488
Entity
Organization
Contact information
Practice address
1741 NEWNAN CROSSING BLVD E, SUITE I, NEWNAN, GA 30265-1599
(770) 253-4488
(770) 253-4498
Mailing address
1741 NEWNAN CROSSING BLVD E, SUITE I, NEWNAN, GA 30265-1599
(770) 253-4488
(770) 253-4498
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013160
GA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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