Individual
KYLEE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
285 ELM ST STE 301, CUMMING, GA 30040-8233
(770) 744-4581
Mailing address
6165 MILLWICK DR, ALPHARETTA, GA 30005-5030
(419) 494-6584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014854
GA
Other
Enumeration date
06/25/2013
Last updated
10/26/2020
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