Organization
STOCKBRIDGE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY FLANAGAN (DISTRICT MANAGER)
(678) 289-6707
Entity
Organization
Contact information
Practice address
330 CORPORATE CENTER CT, SUITE A, STOCKBRIDGE, GA 30281-6360
(678) 289-6707
Mailing address
330 CORPORATE CENTER CT, SUITE A, STOCKBRIDGE, GA 30281-6360
(678) 289-6707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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