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Organization
THOMAS CROSSROADS DENTAL CENTER INC.
Active
Organization
THOMAS CROSSROADS DENTAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EDMUND FERMAN D.D.S. (OWNER)
(770) 251-6676
Entity
Organization
Contact information
Practice address
2511 HIGHWAY 34 E, NEWNAN, GA 30265-1329
(770) 251-6676
(770) 251-0567
Mailing address
2511 HIGHWAY 34 E, NEWNAN, GA 30265-1329
(770) 251-6676
(770) 251-0567
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8855
GA
Other
Enumeration date
12/19/2006
Last updated
10/22/2012
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