Organization
SOH OF GEORGIA OZF, PC
Active
Parent organization
SOH OF GEORGIA OZF, PC
Other names
McDonough Endodonic Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF GEORGIA OZF, PC
Authorized official
ASHLY SUNSHINE (CREDENTIALING SPECIALIST)
(314) 413-2803
Entity
Organization
Contact information
Practice address
1705 HIGHWAY 20 W STE 200, MCDONOUGH, GA 30253-7683
(770) 954-8672
Mailing address
1705 HIGHWAY 20 W STE 200, MCDONOUGH, GA 30253-7683
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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