Organization
GEORGIA DENTAL ALLIANCE OF GREENSBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI TOMLINSON (CREDENTIALING SPECIALIST)
(678) 986-7116
Entity
Organization
Contact information
Practice address
1000 COWLES CLINC WAY STE W-200, GREENSBORO, GA 30642-4539
(706) 454-0044
Mailing address
1000 COWLES CLINC WAY STE W-200, GREENSBORO, GA 30642-4539
(706) 454-0044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
02/15/2022
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