Organization
COMPASSIONATE MOBILE DENTISTS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET G MOORE DMD (CMO)
(478) 952-7522
Entity
Organization
Contact information
Practice address
3907 UPPER RIVER RD, GRAY, GA 31032-3821
(478) 952-7522
Mailing address
PO BOX 27328, MACON, GA 31221-7328
(478) 952-7522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013080
GA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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