Cedar Dental Clinical I, LLC

NPI #1003423039 in Mcdonough, Georgia

Provider Information

NPI Number: 1003423039
Entity Type: Organization
Organization Name: Cedar Dental Clinical I, LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Sep 24, 2020
Last Updated: Sep 24, 2020

Practice Location

Address: 119 WILLOW LN
City: Mcdonough
State: Georgia
ZIP Code: 30253-6574
Phone: (678) 432-8505

Authorized Official

Name: MR. HENRY RANKIN DALLAM III, DMD
Title: PRESIDENT
Phone: (770) 331-2529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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DR. Sylvester Carlo III, DMD	Dentist - Orthodontics and Dentofacial Orthopedics	Mcdonough	AI Deep Dive
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Brian a Womble, DMD	Dentist - Orthodontics and Dentofacial Orthopedics	Mcdonough	AI Deep Dive
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Organizations

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Bright Smiles, LLC	Dentist - Orthodontics and Dentofacial Orthopedics	Mcdonough	AI Deep Dive

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