Organization
CHASTAIN PARK DENTISTRY, PC
Active
Other names
Chastain Park Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN DDS (OWNER)
(404) 341-9593
Entity
Organization
Contact information
Practice address
4600 ROSWELL RD, SUITE C120, SANDY SPRINGS, GA 30342-3075
(404) 341-9593
(404) 418-4543
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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