Organization
PRINCETON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE L BAILEY (VICE PRESIDENT)
(678) 730-2005
Entity
Organization
Contact information
Practice address
4700 NELSON BROGDON BLVD, SUITE 210, BUFORD, GA 30518-5400
(678) 730-2005
(678) 730-2008
Mailing address
4700 NELSON BROGDON BLVD, SUITE 210, BUFORD, GA 30518-5400
(678) 730-2005
(678) 730-2008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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