Organization
ICARE KIDS DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DUONG (OFFICE MANAGER)
(770) 609-6106
Entity
Organization
Contact information
Practice address
1568 INDIAN TRAIL LILBURN RD # 201, NORCROSS, GA 30093-2613
(770) 609-6106
(770) 573-2987
Mailing address
1568 INDIAN TRAIL LILBURN RD # 201, NORCROSS, GA 30093-2613
(770) 609-6106
(770) 573-2987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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