NPI 1003278904

Dentistry at Kennesaw Point

Organisation General Practice Dentistry Kennesaw, GA

Practice location

Address: 1350 Wooten Lake Rd NW Suite 203, Kennesaw, GA 30144-1344
Phone: (678) 275-2066
Fax: (678) 275-2074

Authorised official

Name: Kyandukhta Kalantari
Title: Owner
Phone: (678) 275-2066

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN013605 (GA)

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Registry record

NPI: 1003278904
Entity type: Organization
NPI issued: 22 Mar 2016
Record last updated: 22 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.