Little P.c.

NPI #1205346640 in Conyers, Georgia

Provider Information

NPI Number: 1205346640
Entity Type: Organization
Organization Name: Little P.c.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 11, 2017
Last Updated: Dec 8, 2017

Practice Location

Address: 1360 DOGWOOD DR SE STE 304
City: Conyers
State: Georgia
ZIP Code: 30013-5076
Phone: (843) 990-9998

Authorized Official

Name: MONIQUE TUCKER
Title: DIRECTOR OF INSURANCE
Phone: (843) 990-9998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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