Organization
DENTAL NOW KIDS LLC
Active
Other names
Dental Now Kids LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA ZUNIGA (CREDENTIALING SPECIALIST)
(678) 831-4414
Entity
Organization
Contact information
Practice address
4151 STEVE REYNOLDS BLVD STE 2, NORCROSS, GA 30093-3060
(678) 831-4414
Mailing address
4151 STEVE REYNOLDS BLVD STE 2, NORCROSS, GA 30093-3060
(678) 831-4414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003214417I
—
GA
Enumeration date
02/21/2020
Last updated
02/21/2020
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