Organization
KIRAN M. KAMDAR DBA NEIGHBORHOOD PEDIATRIC AND ADULT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLINE MAXWELL (OFFICE MANAGER)
(770) 923-2232
Entity
Organization
Contact information
Practice address
5460 LILBURN STONE MOUNTAIN RD, STONE MOUNTAIN, GA 30087-2843
(770) 923-2232
(770) 923-2268
Mailing address
5460 LILBURN STONE MOUNTAIN RD, STONE MOUNTAIN, GA 30087-2843
(770) 923-2232
(770) 923-2268
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN10597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000412079A
—
GA
Enumeration date
03/21/2008
Last updated
07/07/2008
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