Organization
PALMETTO FAMILY DENTAL OF MCDONOUGH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN A BRUNSON DDS (OWNER)
(770) 898-3192
Entity
Organization
Contact information
Practice address
70 WESTRIDGE PKWY STE 100, MCDONOUGH, GA 30253-3048
(770) 898-3192
Mailing address
70 WESTRIDGE PKWY STE 100, MCDONOUGH, GA 30253-3048
(770) 898-3192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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