Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Dug Gap Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
KENDRA WALKER (CREDENTIALING)
(217) 540-8312
Entity
Organization
Contact information
Practice address
1405 DUG GAP RD, DALTON, GA 30720-5008
(706) 278-2272
Mailing address
1405 DUG GAP RD, DALTON, GA 30720-5008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
09/16/2014
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