Organization
CITY DENTAL CLINIC 247 LTD
Active
Other names
City Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IFEANYI EZUNU DDS (OWNER)
(770) 263-8408
Entity
Organization
Contact information
Practice address
3280 OLD ALABAMA RD STE 200, JOHNS CREEK, GA 30022-8544
(770) 263-8408
(770) 263-8744
Mailing address
3280 OLD ALABAMA RD STE 200, JOHNS CREEK, GA 30022-8544
(770) 263-8408
(770) 263-8744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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