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Organization
COASTAL PERIODONTICS, P.C.
Active
Organization
COASTAL PERIODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE A BELL D.M.D. (PRESIDENT PERIODONTIST)
(912) 364-9250
Entity
Organization
Contact information
Practice address
2925 PLAYER ST, BRUNSWICK, GA 31520-4950
(912) 264-9250
(912) 265-7191
Mailing address
2925 PLAYER ST, BRUNSWICK, GA 31520-4950
(912) 264-9250
(912) 265-7191
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8113
GA
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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