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Organization

JEFF DAVIS DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS WILLIAMS DMD (OWNER)
(678) 817-5900
Entity
Organization

Contact information

Practice address
265 N JEFF DAVIS DR, SUITE #1, FAYETTEVILLE, GA 30214-1625
(678) 817-5900
Mailing address
265 N JEFF DAVIS DR, SUITE #1, FAYETTEVILLE, GA 30214-1625

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8464
GA

Other

Enumeration date
03/01/2007
Last updated
08/28/2010
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