Organization
COVENANT CHILDRENS DENTAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN W. WILLIAMS D.D.S. (CEO)
(770) 323-1280
Entity
Organization
Contact information
Practice address
7446 COVINGTON HWY, LITHONIA, GA 30058-7612
(770) 323-1280
(770) 323-8622
Mailing address
7446 COVINGTON HWY, LITHONIA, GA 30058-7612
(770) 323-1280
(770) 323-8622
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN011370
GA
Other
Enumeration date
11/11/2008
Last updated
02/25/2009
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