Organization
DR. AMY S. LODEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY S. LODEN DMD (DENTIST)
(478) 923-0253
Entity
Organization
Contact information
Practice address
1267 RUSSELL PKWY, WARNER ROBINS, GA 31088-5582
(478) 923-0253
(478) 923-6906
Mailing address
1267 RUSSELL PKWY, WARNER ROBINS, GA 31088-5582
(478) 923-0253
(478) 923-6906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227506320A
—
GA
Enumeration date
01/07/2009
Last updated
01/07/2009
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