DENTISTRY AT KENNESAW POINT NPI 1003278904

NPI Information

DENTISTRY AT KENNESAW POINT is a general practice dentist in Kennesaw, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTISTRY AT KENNESAW POINT NPI is 1003278904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1350 WOOTEN LAKE RD NW
SUITE 203
KENNESAW, GA
ZIP 30144-344
Phone: (678) 275-2066
Fax: (678) 275-2074

The provider's authorized official is Kyandukhta Kalantari .
The authorized official title is Owner and has the following contact phone number (678) 275-2066.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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