Organization
BURKE DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EUGENE PELLERIN DMD (OWNER/PRESIDENT)
(706) 554-7044
Entity
Organization
Contact information
Practice address
213 COUNCIL ST, WAYNESBORO, GA 30830-1453
(706) 554-7044
(706) 554-7045
Mailing address
213 COUNCIL ST, P O BOX 360, WAYNESBORO, GA 30830-1453
(706) 554-7044
(706) 554-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8587
GA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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