Organization
DWC-H, LLC
Active
Other names
Dental Wellness Center of Hinesville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA RAY (FINANCIAL COORDINATOR)
(912) 920-5577
Entity
Organization
Contact information
Practice address
715 COURTLAND DR, HINESVILLE, GA 31313-4464
(912) 348-8848
(912) 226-3489
Mailing address
PO BOX 436, HINESVILLE, GA 31310-0436
(912) 348-8848
(912) 226-3489
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497918759
NPI
GA
01
—
DN010747
LICENSE
GA
Enumeration date
02/27/2019
Last updated
06/11/2019
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