Organization
JOSEPH T. SUMRALL, JR., D.M.D., P.C. JEFFREY T. VASKO, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T SUMRALL JR. D.M.D., P.C. (OWNER)
(478) 929-1661
Entity
Organization
Contact information
Practice address
100 S HOUSTON RD, WARNER ROBINS, GA 31088-3904
(478) 929-1661
(478) 929-1219
Mailing address
100 S HOUSTON RD, WARNER ROBINS, GA 31088-3904
(478) 929-1661
(478) 929-1219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9387
GA
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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