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Organization
ESSENTIAL DENTAL, INC.
Active
Organization
ESSENTIAL DENTAL, INC.
Active
Other names
Essential Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK SNYDER (VICE PRESIDENT)
(419) 890-9978
Entity
Organization
Contact information
Practice address
ESSENTIAL DENTAL, INC, 1188 CROSS STREET, FORT OGLETHORPE, GA 30742
(706) 956-8893
Mailing address
ESSENTIAL DENTAL, INC, 1188 CROSS STREET, FORT OGLETHORPE, GA 30742
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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