Organization
MAIN STREET DENTAL OF CARTERSVILLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNY Y LIM DDS (OFFICER)
(770) 382-1516
Entity
Organization
Contact information
Practice address
328 E MAIN ST STE 102, CARTERSVILLE, GA 30120-3278
(770) 382-1516
Mailing address
328 E. MAIN STREET SUITE 102, CARTERSVILLE, GA 30120
(770) 382-1516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20211364798
GA
Other
Enumeration date
06/06/2012
Last updated
03/14/2013
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