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Organization
AUBURN PERIODONTICS OF COLUMBUS, LLC
Active
Organization
AUBURN PERIODONTICS OF COLUMBUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRITANY FABIAN MATIN DMD (PRESIDENT, CEO)
(334) 444-0571
Entity
Organization
Contact information
Practice address
400 BROOKSTONE CENTRE PKWY STE 100, COLUMBUS, GA 31904-3640
(706) 222-7149
Mailing address
400 BROOKSTONE CENTRE PKWY STE 100, COLUMBUS, GA 31904-3640
(706) 222-7149
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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