Organization
COMPASS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R FANA JR. DMD (MEMBER)
(912) 352-3955
Entity
Organization
Contact information
Practice address
7130 HODGSON MEMORIAL DR, STE 103, SAVANNAH, GA 31406-1526
(912) 352-3955
Mailing address
7130 HODGSON MEMORIAL DR, STE 103, SAVANNAH, GA 31406-1526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
3563
SC
261QD0000X
Dental Clinic/Center
Primary
DN011627
GA
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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