Organization
KIDZ KORNER DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA K HERRING DDS (DENTIST/OWNER)
(912) 238-1264
Entity
Organization
Contact information
Practice address
143 CANAL ST STE 400, POOLER, GA 31322-6007
(912) 856-1486
Mailing address
143 CANAL ST STE 400, POOLER, GA 31322-6007
(912) 856-1486
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012328
GA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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