Organization
KENNESAW MOUNTAIN DENTAL ASSOCIATES
Active
Parent organization
KENNESAW MOUNTAIN DENTAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNESAW MOUNTAIN DENTAL ASSOCIATES
Authorized official
DR. HAMIR CONTRACTOR DDS (OWNER)
(770) 425-4100
Entity
Organization
Contact information
Practice address
1815 OLD 41 HWY, STE 310, KENNESAW, GA 30152
(770) 425-4100
(770) 425-4111
Mailing address
1815 OLD 41 HWY, STE 310, KENNESAW, GA 30152
(770) 425-4100
(770) 425-4111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013236
GA
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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