Organization
DENTAL ONE ASSOCIATES (KENNESAW) LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
2616 GEORGE BUSBEE PKWY NW, KENNESAW, GA 30144-4939
(770) 421-8821
Mailing address
2616 GEORGE BUSBEE PKWY NW, KENNESAW, GA 30144-4939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
05/17/2010
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