Organization
SOUTHERN DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W PISCHKE III DDS (VICE PRESIDENT)
(912) 352-1032
Entity
Organization
Contact information
Practice address
340 EISENHOWER DR, BUILDING 400, SAVANNAH, GA 31406-1600
(912) 352-1032
Mailing address
340 EISENHOWER DR, BUILDING 400, SAVANNAH, GA 31406-1600
(912) 352-1032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AP009191
GA
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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