Organization
CHATSWORTH FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONDRA REBECCA GRIFFIN (OFFICE MANAGER)
(706) 695-8318
Entity
Organization
Contact information
Practice address
221 N 4TH AVE, CHATSWORTH, GA 30705-2420
(706) 695-8318
Mailing address
PO BOX 1096, CHATSWORTH, GA 30705-1096
(706) 695-8318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011116
GA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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