Organization
REIDSVILLE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACKARY BENTLEY DMD (OWNER)
(912) 687-5047
Entity
Organization
Contact information
Practice address
115 MEDICAL ARTS DR, REIDSVILLE, GA 30453-4630
(912) 557-6307
Mailing address
115 MEDICAL ARTS DR, REIDSVILLE, GA 30453-4630
(912) 557-6307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014408
GA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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