Organization
BUFORD DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMA D EVANS DMD (PRESIDENT)
(770) 945-7186
Entity
Organization
Contact information
Practice address
1879 BUFORD HWY, SUITE 5, BUFORD, GA 30518-3628
(770) 945-7186
(770) 945-1155
Mailing address
1879 BUFORD HWY, SUITE 5, BUFORD, GA 30518-3628
(770) 945-7186
(770) 945-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10445
GA
Other
Enumeration date
10/03/2010
Last updated
10/03/2010
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