Organization
CAPITAL DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRA DAWN DERRICK DDS (OWNER)
(404) 261-6794
Entity
Organization
Contact information
Practice address
3833 ROSWELL RD NE, SUITE 100, ATLANTA, GA 30342-4432
(404) 261-6794
Mailing address
3833 ROSWELL RD NE, SUITE 100, ATLANTA, GA 30342-4432
(404) 261-6794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12259
GA
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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