An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
GA license #DN012309GA license #DN008821GA license #DN009268taxonomy 1223P0221X
Identifiers
Type
Value
Notes
05 (GA)
00349423C
05 (GA)
00896629D
05 (GA)
000157924B
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
My Kids' Dentists
Type code 3recorded 2012-07-01
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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