Organization
CHILDREN'S DENTISTRY OF WEST COBB,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY D CHANDLER (OFFICE MANAGER)
(770) 499-2152
Entity
Organization
Contact information
Practice address
5255 STILESBORO RD NW STE 110, KENNESAW, GA 30152-7739
(770) 499-2152
(770) 499-2157
Mailing address
5255 STILESBORO RD NW STE 110, KENNESAW, GA 30152-7739
(770) 499-2152
(770) 499-2157
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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