Organization
PERIODONTAL CENTER OF GEORGIA, PC
Active
Other names
Periodontal Center of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY BENNETT (OFFICE MANAGER)
(770) 922-8733
Entity
Organization
Contact information
Practice address
1920 GA-20, SUITE B, CONYERS, GA 30013-2048
(770) 767-0603
(770) 929-4387
Mailing address
1920 GA-20, SUITE B, CONYERS, GA 30013-2048
(770) 767-0603
(770) 929-4387
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
10/31/2024
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