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Organization
AESTHETIC DENTAL ASSOC OF NE GA LLC
Active
Organization
AESTHETIC DENTAL ASSOC OF NE GA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R. LAWRENCE GEORGE DMD (OWNER)
(706) 353-1958
Entity
Organization
Contact information
Practice address
1520A JENNINGS MILL RD, BOGART, GA 30622-2543
(706) 353-1958
(706) 353-3939
Mailing address
1520A JENNINGS MILL RD, BOGART, GA 30622-2543
(706) 353-1958
(706) 353-3939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN007721
GA
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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