Organization
MC DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CHUNG (PRINCIPAL- WALMART HEALTH DENTAL)
(762) 204-6433
Entity
Organization
Contact information
Practice address
448 WEST BELMONT DRIVE, CALHOUN, GA 30701-3016
(762) 204-6433
(706) 629-8126
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-1258
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
12/07/2021
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