Grace Pediatric Dental Care LLC

NPI #1871258913 in Grayson, Georgia

Provider Information

NPI Number
1871258913
Entity Type
Organization
Organization Name
Grace Pediatric Dental Care LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 3, 2021
Last Updated
Nov 3, 2021

Practice Location

Address
2115 LOGANVILLE HWY STE 101
State
Georgia
ZIP Code
30017-1771
Phone
(470) 508-0125

Authorized Official

Name
TABITHA IKPECHUKWU EFOBI
Title
OWNER
Phone
(757) 831-6852

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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