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Organization
GEORGIA HIGHLANDS COLLEGE
Active
Organization
GEORGIA HIGHLANDS COLLEGE
Active
Other names
Dental Hygiene Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MCDANIEL D.M.D. (SUPERVISING DENTIST)
(706) 295-6760
Entity
Organization
Contact information
Practice address
415 E 3RD AVE, ROME, GA 30161-3241
(706) 295-6760
Mailing address
415 E 3RD AVE, ROME, GA 30161-3241
(706) 295-6760
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DNF000218
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DNF000218
STATE DENTAL LICENSE
GA
Enumeration date
05/01/2008
Last updated
05/01/2008
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