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Organization

KIDS DENTAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONICA DENISE MCINTYRE DDS (PEDIATRIC DENTIST)
(678) 479-7001
Entity
Organization

Contact information

Practice address
12 ROUNTREE RD, RIVERDALE, GA 30274-4036
(678) 479-7001
(678) 479-7007
Mailing address
12 ROUNTREE RD, RIVERDALE, GA 30274-4036
(678) 479-7001
(678) 479-7007

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012467
GA

Other

Enumeration date
04/04/2007
Last updated
01/27/2011
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