Organization
WEST COBB DENTAL GROUP
Active
Other names
West Cobb Dental Designs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROCHELLE REYNOLDS RDH (BUSINESS MANAGER)
(770) 428-5959
Entity
Organization
Contact information
Practice address
1001 WHITLOCK AVE SW, SUITE A, MARIETTA, GA 30064-1930
(770) 428-5959
(770) 421-2168
Mailing address
1001 WHITLOCK AVE SW, SUITE A, MARIETTA, GA 30064-1930
(770) 428-5959
(770) 421-2168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10722
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440414
UNITED CONCORDIA
GA
Enumeration date
02/22/2007
Last updated
08/22/2020
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