Organization
DENTISTRY FOR CHILDREN OF OHIO 2 RANDY HAMILTON DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN RICE (CREDENTIALING MANAGER)
(609) 315-3851
Entity
Organization
Contact information
Practice address
21590 CENTER RIDGE RD, ROCKY RIVER, OH 44116-3945
(770) 692-1000
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/19/2023
Last updated
06/28/2023
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