Homegrown Pediatric Dentistry and Orthodontics

NPI #1225402373 in Jonesboro, Georgia

Provider Information

NPI Number
1225402373
Entity Type
Organization
Organization Name
Homegrown Pediatric Dentistry and Orthodontics
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Nov 30, 2015
Last Updated
Nov 30, 2015

Practice Location

Address
405 ARROWHEAD BLVD
State
Georgia
ZIP Code
30236-1254
Phone
(770) 471-1991

Authorized Official

Name
CHRISTINA MCKELLAR
Title
MEMBER/ PEDIATRIC DENTIST
Phone
(386) 212-6669

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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