Organization
CENTRAL GEORGIA DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN HARGETT III DMD (OWNER)
(478) 929-8603
Entity
Organization
Contact information
Practice address
2521 MOODY RD, WARNER ROBINS, GA 31088-6117
(478) 929-8603
Mailing address
2521 MOODY RD, WARNER ROBINS, GA 31088-6117
(478) 929-8603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013090
GA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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