Organization
VALDOSTA DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GILBERT (OFFICE MANAGER)
(229) 249-0717
Entity
Organization
Contact information
Practice address
103 W CRANFORD AVE, VALDOSTA, GA 31602-2930
(229) 249-0717
(229) 249-0799
Mailing address
103 W CRANFORD AVE, VALDOSTA, GA 31602-2930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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