Organization
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Active
Parent organization
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Other names
Braselton Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Authorized official
KIM WILSON (CRED. SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
2625 OLD WINDER HWY STE G, BRASELTON, GA 30517-7021
(855) 343-4056
Mailing address
2625 OLD WINDER HWY STE G, BRASELTON, GA 30517-7021
(855) 343-4056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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