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Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Byron Family Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
CARMEN WOODS (CREDENTIALING)
(478) 217-4952
Entity
Organization
Contact information
Practice address
6005 WATSON BLVD SUITE 200, BYRON, GA 31008
(478) 217-4952
Mailing address
6005 WATSON BLVD SUITE 200, BYRON, GA 31008
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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