Organization
A DENTAL HOME 4 KIDZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONA BIBBS DDS (PARTNER)
(770) 871-5158
Entity
Organization
Contact information
Practice address
155 CARNEGIE PL STE 201, FAYETTEVILLE, GA 30214-3981
(770) 871-5158
Mailing address
155 CARNEGIE PL STE 201, FAYETTEVILLE, GA 30214-3981
(770) 871-5158
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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