Organization
EDGE CENTER FOR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL CARTER EDGE III DMD (OWNER)
(770) 974-5293
Entity
Organization
Contact information
Practice address
3420 ACWORTH DUE WEST RD, SUITE A, KENNESAW, GA 30144
(770) 974-5293
(770) 974-7285
Mailing address
3420 ACWORTH DUE WEST RD, SUITE A, KENNESAW, GA 30144
(770) 974-5293
(770) 974-7285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
10/10/2007
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