Organization
CHILDREN'S DENTISTRY OF CAMP CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK D MASON (PRESIDENT)
(404) 344-7900
Entity
Organization
Contact information
Practice address
3890 REDWINE RD SW, ATLANTA, GA 30331-5509
(404) 344-7900
Mailing address
3890 REDWINE RD SW, ATLANTA, GA 30331-5509
(404) 344-7900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012710
GA
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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