Organization
PEDIATRIC DENTISTRY OF JOHNS CREEK, LLC
Active
Other names
Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HICKS DMD (OWERN/DENTIST)
(678) 822-9818
Entity
Organization
Contact information
Practice address
10475 MEDLOCK BRIDGE RD, 501, JOHNS CREEK, GA 30097-4433
(678) 822-9818
(678) 822-9820
Mailing address
10475 MEDLOCK BRIDGE RD, 501, JOHNS CREEK, GA 30097-4433
(678) 822-9818
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013896
GA
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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