Organization
AGAPE PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC
Active
Other names
Agape Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIA S. GRANNUM DMD, MPH (CEO)
(678) 831-5437
Entity
Organization
Contact information
Practice address
5185 PEACHTREE PKWY STE 325, PEACHTREE CORNERS, GA 30092-6541
(678) 831-5437
Mailing address
5185 PEACHTREE PKWY STE 325, PEACHTREE CORNERS, GA 30092-6541
(678) 831-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
09/03/2024
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