Cosmetic and Family Dentistry of Marietta

NPI #1023264322 in Marietta, Georgia

Provider Information

NPI Number: 1023264322
Entity Type: Organization
Organization Name: Cosmetic and Family Dentistry of Marietta
Subpart: Yes (part of a larger organization)
Parent Organization: COSMETIC AND FAMILY DENTISTRY OF MARIETTA
Primary Specialty: Dentist
Enumeration Date: Aug 18, 2008
Last Updated: Aug 18, 2008

Practice Location

Address: 1611 SANDS PL SE STE 100
City: Marietta
State: Georgia
ZIP Code: 30067-8704
Phone: (770) 226-0008

Authorized Official

Name: DR. KENNETH MORRIS WIGGINS JR., DDS
Title: DR./DENTIST
Phone: (770) 226-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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