Organization
ROCHELLE DENTAL
Active
Parent organization
COLONY DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLONY DENTAL
Authorized official
LINDA RODGERS (OFFICE MANAGER)
(229) 365-0056
Entity
Organization
Contact information
Practice address
615 SECOND AVENUE, ROCHELLE, GA 31079
(229) 365-0056
Mailing address
615 SECOND AVENUE, ROCHELLE, GA 31079
(229) 365-0056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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