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Organization

SOUTHLAND CHILDREN'S DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH STEVE SELLERS JR. DMD (DENTIST/OWNER)
(912) 253-5888
Entity
Organization

Contact information

Practice address
2301 LULLWATER RD, ALBANY, GA 31707-3180
(229) 439-8896
Mailing address
2301 LULLWATER RD, ALBANY, GA 31707-3180
(229) 439-8896

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN15000
GA

Other

Enumeration date
07/12/2016
Last updated
07/12/2016
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