Pkr Dental LLC

NPI #1841656246 in Conyers, Georgia

Provider Information

NPI Number: 1841656246
Entity Type: Organization
Organization Name: Pkr Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2016
Last Updated: Jan 14, 2016

Practice Location

Address: 1450 HIGHWAY 138 SE
City: Conyers
State: Georgia
ZIP Code: 30013-1285
Phone: (770) 285-2270

Authorized Official

Name: JENNIFER LA DUC
Title: PROVIDER RELATIONS
Phone: (315) 454-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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