Organization
PDAA 2 EVANS LLC
Active
Other names
Augusta Children's Dental Center West
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKINDEKO OBEBE (DENTIST)
(216) 849-8097
Entity
Organization
Contact information
Practice address
4250 WASHINGTON RD STE 1, EVANS, GA 30809-3351
(706) 524-7628
Mailing address
4250 WASHINGTON RD STE 1, EVANS, GA 30809-3351
(706) 524-7628
(706) 343-3995
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/31/2024
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