Organization
DENTISTRY FOR CHILDREN OF AUSTELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE BARTCH (MANAGER)
(678) 445-5444
Entity
Organization
Contact information
Practice address
1678 MULKEY RD, STE D, AUSTELL, GA 30106-1147
(678) 445-5444
(678) 445-5552
Mailing address
PO BOX 195, WOODSTOCK, GA 30188-0195
(678) 445-5444
(678) 445-5552
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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