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Organization

MY EAST COBB DENTIST, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIK KLEIN DDS (PRESIDENT)
(770) 579-6400
Entity
Organization

Contact information

Practice address
4200 PROVIDENCE RD, MARIETTA, GA 30062-6129
(770) 579-6400
Mailing address
4200 PROVIDENCE RD, MARIETTA, GA 30062-6129
(770) 579-6400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011490
GA

Other

Enumeration date
02/22/2007
Last updated
12/04/2012
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