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Organization
TINA'S DENTAL , PC
Active
Organization
TINA'S DENTAL , PC
Active
Other names
Chattahoochee Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY M CASTLE (DIRECTOR OF PAYOR CONTRACTS)
(912) 732-1504
Entity
Organization
Contact information
Practice address
1604 E 10TH ST, WEST POINT, GA 31833-3416
(706) 643-3294
Mailing address
1604 E 10TH ST, WEST POINT, GA 31833-3416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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