Organization
CHEROKEE CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MILES MAZZAWI D.M.D. (PRESIDENT)
(770) 235-2288
Entity
Organization
Contact information
Practice address
205 WALESKA RD, SUITE 2B, CANTON, GA 30114-2493
(404) 479-1717
(404) 479-1747
Mailing address
205 WALESKA RD, SUITE 2B, CANTON, GA 30114-2493
(404) 479-1717
(404) 479-1747
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012359
GA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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