Organization
ELDER DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY H. ELDER (SEC/TRES)
(706) 543-4717
Entity
Organization
Contact information
Practice address
2300 PRINCE AVE, ATHENS, GA 30606-6004
(706) 543-4717
(706) 543-5091
Mailing address
2300 PRINCE AVE, ATHENS, GA 30606-6004
(706) 543-4717
(706) 543-5091
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN00795
GA
Other
Enumeration date
01/18/2007
Last updated
03/11/2009
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