Organization
NORTHEAST GEORGIA DENTAL PROFESSIONALS, LLC
Active
Other names
Advanced & Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JONES DMD (CEO)
(770) 932-4240
Entity
Organization
Contact information
Practice address
2700 BRASELTON HWY STE 12, DACULA, GA 30019-3263
(770) 932-4240
Mailing address
2700 BRASELTON HWY STE 12, DACULA, GA 30019-3263
(770) 932-4240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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