Organization
NORTH MACON DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE KOSATER (MANAGER)
(478) 477-1228
Entity
Organization
Contact information
Practice address
4020 ELNORA DR, MACON, GA 31210-1823
(478) 477-1228
(478) 477-8695
Mailing address
4020 ELNORA DR, MACON, GA 31210-1823
(478) 477-1228
(478) 477-8695
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009476
GA
122300000X
Dentist
DN012405
GA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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