Organization
DOWNTOWN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANITA SHIRLEY ADKINS DMD (OWNER DENTIST)
(706) 724-0544
Entity
Organization
Contact information
Practice address
1162 BROAD STREET, AUGUSTA, GA 30901
(706) 724-0544
(706) 724-0545
Mailing address
1162 BROAD STREET, AUGUSTA, GA 30901
(706) 724-0544
(706) 724-0545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013121
GA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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