Organization
GINA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA H HODGSON DMD (OWNER)
(678) 579-0802
Entity
Organization
Contact information
Practice address
1000 JOHNSON FERRY RD STE E125, MARIETTA, GA 30068-2100
(770) 579-0802
(770) 579-0340
Mailing address
1000 JOHNSON FERRY RD STE E125, MARIETTA, GA 30068-2100
(770) 579-0802
(770) 579-0340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011336
GA
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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