Organization
EAST VICTORY DRIVE DENTAL GROUP, LLC
Active
Other names
Savannah Smiles Youth Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL M. ELKIN DDS (PRESIDENT AND OWNER)
(615) 988-2627
Entity
Organization
Contact information
Practice address
2127 E VICTORY DR, SAVANNAH, GA 31404-3917
(912) 443-6013
(912) 443-6014
Mailing address
401 CHURCH ST, SUITE 2210, NASHVILLE, TN 37219-2310
(615) 988-2826
(631) 857-7860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015152
GA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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