Woodmont Dental LLC

NPI #1679241269 in Canton, Georgia

Provider Information

NPI Number: 1679241269
Entity Type: Organization
Organization Name: Woodmont Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 31, 2021
Last Updated: Aug 31, 2021

Practice Location

Address: 7768 CUMMING HWY
Address 2: SUITE 100
City: Canton
State: Georgia
ZIP Code: 30115
Phone: (678) 493-2204

Authorized Official

Name: NICHOLAS JOHNSON, DMD
Title: DENTIST
Phone: (678) 493-2204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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