Organization
KENNESAW DENTAL ASSOCIATES, P,C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ERIC OLSON DMD (PRESIDENT/OWNER)
(770) 424-8077
Entity
Organization
Contact information
Practice address
3600 CHEROKEE ST NW, SUITE 117, KENNESAW, GA 30144-2027
(770) 424-8077
(770) 499-1929
Mailing address
3600 CHEROKEE ST NW, SUITE 117, KENNESAW, GA 30144-2027
(770) 424-8077
(770) 499-1929
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN010233
GA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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