Organization
BETHLEHEM DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON L. ESCO DMD (OWNER/DENTIST)
(678) 963-5790
Entity
Organization
Contact information
Practice address
255 GATEWAY DRIVE, SUITE 200, BETHLEHEM, GA 30620
(678) 963-5790
(678) 963-5790
Mailing address
255 GATEWAY DRIVE, SUITE 20, BETHLEHEM, GA 30620
(678) 963-5790
(678) 963-5591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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