Sacred Dental

NPI #1932461860 in Conyers, Georgia

Provider Information

NPI Number: 1932461860
Entity Type: Organization
Organization Name: Sacred Dental
Primary Specialty: Dentist
Enumeration Date: Jun 15, 2012
Last Updated: Jun 15, 2012

Practice Location

Address: 1360 DOGWOOD DRIVE
City: Conyers
State: Georgia
ZIP Code: 30013
Phone: (770) 474-9202

Authorized Official

Name: DR. AGATHA NWIZU
Title: DENTIST
Phone: (770) 474-9202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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