Organization
PROFESSIONAL DENTAL ALLIANCE WARNER ROBINS C VINSON PKY, LLC
Active
Other names
Dental Associates of Warner Robins
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HOWARD MA (CREDENTIALING SPECIALIST)
(724) 698-2029
Entity
Organization
Contact information
Practice address
229 CARL VINSON PKWY, WARNER ROBINS, GA 31088-5815
(478) 922-4922
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 698-2500
(844) 399-0385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
01/10/2019
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