Kotzqualitydental LLC

NPI #1881372613 in Loganville, Georgia

Provider Information

NPI Number: 1881372613
Entity Type: Organization
Organization Name: Kotzqualitydental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 11, 2023
Last Updated: Sep 14, 2023

Practice Location

Address: 4112 ATLANTA HWY STE 100
City: Loganville
State: Georgia
ZIP Code: 30052-4930
Phone: (470) 385-3595

Authorized Official

Name: MICHELLE JACOMINO-BARNES
Title: DIRECTOR CREDENTIALING & ENROLLMENT
Phone: (813) 270-9497

Specialties & Taxonomy Codes

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

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