Organization
VALDOSTA CENTER FOR COSMETIC DENTISTRY, INC
Active
Other names
North Valdosta Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B. BYNUM SR. D.M.D. (OWNER)
(229) 242-0825
Entity
Organization
Contact information
Practice address
802 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1392
(229) 242-0825
(229) 242-0167
Mailing address
802 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1392
(229) 242-0825
(229) 242-0167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009147
GA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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