Individual
GEORGE P MITROGOGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7101 HOFF ST BLDG 9240, USA DENTAL ACTIVITY, FORT BENNING, GA 31905-5645
(706) 544-4530
(706) 544-1933
Mailing address
7101 HOFF ST BLDG 9240, USA DENTAL ACTIVITY, FORT BENNING, GA 31905-5645
(706) 544-4530
(706) 544-1933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856106
MA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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