Organization
BLAIR HOUSE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE HAMMOND (OFFICE MANAGER)
(706) 781-3340
Entity
Organization
Contact information
Practice address
10 DEER CROSSING TR., BLAIRSVILLE, GA 30512
(706) 781-3340
(706) 745-4153
Mailing address
10 DEER CROSSING TR., BLAIRSVILLE, GA 30512
(706) 781-3340
(706) 745-4153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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