Organization
MUSCOGEE DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA SHAWNKI TRICE D.M.D (PRESIDENT)
(770) 880-9680
Entity
Organization
Contact information
Practice address
3619 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 940-0528
(706) 940-0571
Mailing address
3619 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 940-0528
(706) 940-0571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013193
GA
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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