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Organization

GEORGIA DENTAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI DAVIS (PRACTICE ADMIN)
(229) 313-5083
Entity
Organization

Contact information

Practice address
501 GRIFFIN AVE, EASTMAN, GA 31023-6712
(229) 313-5083
Mailing address
501 GRIFFIN AVE, EASTMAN, GA 31023-6712
(229) 313-5083

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/19/2019
Last updated
01/03/2020
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