Organization
LIFE POINT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES YANG HERR (PRESIDENT)
(706) 621-5448
Entity
Organization
Contact information
Practice address
660 WASHINGTON ST., JEFFERSON, GA 30549
(706) 621-5448
Mailing address
660 WASHINGTON ST., JEFFERSON, GA 30549
(706) 621-5448
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN014226
GA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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