Organization
GEORGIA DENTAL ASSOCIATES, LLC
Active
Parent organization
GEORGIA DENTAL ASSOCIATES, LLC
Other names
Georgia Dental Associates of Fitzgerald
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL ASSOCIATES, LLC
Authorized official
VICKI DAVIS (PRACTIVE ADMIN)
(229) 313-5083
Entity
Organization
Contact information
Practice address
320 BENJAMIN H HILL DR SW, FITZGERALD, GA 31750-8694
(229) 423-7974
Mailing address
P O DRAWER 877, FITZGERALD, GA 31750
(229) 423-7974
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/03/2020
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