Organization
GREENCASTLE DENTAL
Active
Other names
Greencastle Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA HOLLY COPE (FRONT OFFICE)
(770) 486-5585
Entity
Organization
Contact information
Practice address
195 GREENCASTLE RD, TYRONE, GA 30290-2938
(770) 486-5585
Mailing address
195 GREENCASTLE RD, TYRONE, GA 30290-2938
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/09/2017
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