Organization
EAST COBB FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH TRALONGO DDS (OWNER/DENTIST)
(770) 992-2340
Entity
Organization
Contact information
Practice address
2969 JOHNSON FERRY RD, MARIETTA, GA 30062-5653
(404) 537-5211
(770) 809-5013
Mailing address
2969 JOHNSON FERRY RD, MARIETTA, GA 30062-5653
(404) 537-5211
(770) 809-5013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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