Organization
AUGUSTA FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUMM DMD (CLINICAL DIRECTOR)
(706) 863-4567
Entity
Organization
Contact information
Practice address
4110 WINDSOR SPRING RD, HEPHZIBAH, GA 30815-8020
(706) 287-5632
Mailing address
10445 NW 50TH PL, CORAL SPRINGS, FL 33076-1737
(954) 675-3088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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