Organization
SD DENTAL LLC
Active
Other names
Savannah Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CADE (MANAGER)
(912) 352-4338
Entity
Organization
Contact information
Practice address
815 E 68TH ST, SAVANNAH, GA 31405-4724
(912) 352-4338
Mailing address
815 E 68TH ST, SAVANNAH, GA 31405-4724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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