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Organization

CHEROKEE FAMILY DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS JOHNSON DMD (OWNER)
(770) 704-6987
Entity
Organization

Contact information

Practice address
2920 MARIETTA HWY, SUITE 146, CANTON, GA 30114-8212
(770) 704-6987
Mailing address
2920 MARIETTA HIGHWAY, SUITE 146, CANTON, GA 30114

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN014617
GA
1223G0001X
General Practice Dentistry
Primary
DN013366
GA
1223G0001X
General Practice Dentistry
DN014219
GA

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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