Individual
ANGELA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 SIGHTSEEING RD, FT BENNING, GA 31905
(706) 545-2901
Mailing address
2828 SIGHTSEEING RD, FT BENNING, GA 31905
(706) 545-2901
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
XXXXXXX
GA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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