Organization
SAVANNAH DENTAL GROUP, LLC
Active
Other names
Brian Beaudreau, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BEAUDREAU D.M.D. (OWNER)
(912) 354-9204
Entity
Organization
Contact information
Practice address
5509 PAULSEN ST, SAVANNAH, GA 31405-4902
(912) 354-9204
Mailing address
5509 PAULSEN ST, SAVANNAH, GA 31405-4902
(912) 354-9204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09617
GA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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