Organization
ADVANCED DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ASHLEY MOORMAN DMD (OWNER/DENTIST)
(229) 242-4441
Entity
Organization
Contact information
Practice address
3211 WILDWOOD PLANTATION DR, VALDOSTA, GA 31605-1042
(229) 242-4441
(229) 242-4471
Mailing address
3211 WILDWOOD PLANTATION DR, VALDOSTA, GA 31605-1042
(229) 242-4441
(229) 242-4471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011637
GA
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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