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Organization
COPELAN DENTAL, LLC
Active
Organization
COPELAN DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACY MALCOM COPELAN DMD (DENTIST/OWNER)
(706) 474-6806
Entity
Organization
Contact information
Practice address
179 GARRETT WAY NW, MILLEDGEVILLE, GA 31061-2318
(478) 453-3004
Mailing address
451 LOWER HARMONY RD UNIT B, EATONTON, GA 31024-6080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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