Organization
HINESVILLE FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MARTINOLAS D.D.S. (PRESIDENT)
(912) 816-2155
Entity
Organization
Contact information
Practice address
124 W ML KING JR DR, HINESVILLE, GA 31313-3226
(912) 816-2155
Mailing address
1090 NORTHCHASE PARKWAY, STE 150, MARIETTA, GA 30067
(770) 916-5031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
12/06/2016
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