Organization
DTJG DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HILDRETH DMD (DENTIST/OWNER)
(404) 664-3563
Entity
Organization
Contact information
Practice address
2430 POWELL PL NW, KENNESAW, GA 30144-3567
(770) 424-1705
Mailing address
351 WESLEY DR, ACWORTH, GA 30101-8727
(404) 664-3563
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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