Organization
ADFC-WATKINSVILLE PC
Active
Other names
Athens Dentistry for Children
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1355 RESURGENCE DR, WATKINSVILLE, GA 30677-7306
(706) 355-3109
Mailing address
1355 RESURGENCE DR, WATKINSVILLE, GA 30677-7306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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