Organization
HARTWELL DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM C GRIZZLE DDS (OWNER)
(706) 376-3158
Entity
Organization
Contact information
Practice address
56 W GIBSON ST, HARTWELL, GA 30643-1846
(706) 376-3158
Mailing address
PO BOX 536, HARTWELL, GA 30643-0536
(706) 376-3158
(706) 376-3510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10039
GA
1223G0001X
General Practice Dentistry
Primary
7729
GA
Other
Enumeration date
01/09/2007
Last updated
09/25/2007
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