Organization
EDELWEISS PD, LLC
Active
Other names
Healthy Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOCK DMD (OWNER)
(706) 548-7373
Entity
Organization
Contact information
Practice address
1360 CADUCEUS WAY STE 103, WATKINSVILLE, GA 30677-7300
(706) 548-7373
Mailing address
1360 CADUCEUS WAY STE 103, WATKINSVILLE, GA 30677-7300
(706) 548-7373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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