Search › Georgia › 122300000X
Eva Baciu, DDS
NPI 1639590474 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1610 Ridenour Blvd Nw Ste 102
Kennesaw, GA 30152 - Phone
- (678) 273-2819
- Organisation at this address
- Kelly Vaughn Dds Pc
Sage Dental Group Of Georgia, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- CA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia