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Organization

DENISE P NOEL

Active
Other names
MIDDLE GEORGIA DENTAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENISE PATRICK NOEL DMD (DENTISIT)
(478) 953-6520
Entity
Organization

Contact information

Practice address
618 N HOUSTON LAKE BLVD, CENTERVILLE, GA 31028-1010
(478) 956-6520
Mailing address
618 N HOUSTON LAKE BLVD, CENTERVILLE, GA 31028
(478) 956-6520

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10704
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982750766
INDIVIDUAL NPI
GA
05
979736219A
GA
Enumeration date
09/28/2010
Last updated
09/28/2010
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