Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Mulberry Creek Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization
Contact information
Practice address
4030 WINDER HIGHWAY, FLOWERY BRANCH, GA 30542
(678) 217-8591
Mailing address
4030 WINDER HIGHWAY, FLOWERY BRANCH, GA 30542
(678) 217-8591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
09/07/2016
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