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Organization
CENTRAL GEORGIA PERIODONTICS & DENTAL IMPLANTS LLC
Active
Organization
CENTRAL GEORGIA PERIODONTICS & DENTAL IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAMRA BHASIN D.M.D. (MEMBER)
(478) 923-0232
Entity
Organization
Contact information
Practice address
225 CARL VINSON PKWY, WARNER ROBINS, GA 31088-5831
(478) 923-0232
(478) 929-3382
Mailing address
225 CARL VINSON PKWY, WARNER ROBINS, GA 31088-5831
(478) 923-0232
(478) 929-3382
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7417
GA
1223P0300X
Periodontics
DN 013545
GA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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