Organization
HOSPITAL DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY W. HOLDER (AUTHORIZED OFFICIAL)
(770) 826-9282
Entity
Organization
Contact information
Practice address
316 N BROAD ST, WINDER, GA 30680-2150
(770) 826-9282
Mailing address
316 N BROAD ST, WINDER, GA 30680-2150
(770) 826-9282
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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