Organization
WM DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LOPEZ (OWNER)
(706) 863-3290
Entity
Organization
Contact information
Practice address
491 FURYS FERRY RD, MARTINEZ, GA 30907-8221
(706) 863-3290
Mailing address
491 FURYS FERRY RD, MARTINEZ, GA 30907-8221
(706) 863-3290
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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