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Organization

ESSENTIAL DENTAL, INC.

Active
Other names
Essential Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DERRICK SNYDER (VICE PRESIDENT)
(419) 890-9978
Entity
Organization

Contact information

Practice address
ESSENTIAL DENTAL, INC, 1188 CROSS STREET, FORT OGLETHORPE, GA 30742
(706) 956-8893
Mailing address
ESSENTIAL DENTAL, INC, 1188 CROSS STREET, FORT OGLETHORPE, GA 30742

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/05/2018
Last updated
12/05/2018
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