Organization
THOMAS CROSSROADS DENTAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EDMUND FERMAN D.D.S. (OWNER)
(770) 251-6676
Entity
Organization
Contact information
Practice address
2511 HIGHWAY 34 E, NEWNAN, GA 30265-1329
(770) 251-6676
(770) 251-0567
Mailing address
2511 HIGHWAY 34 E, NEWNAN, GA 30265-1329
(770) 251-6676
(770) 251-0567
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8855
GA
Other
Enumeration date
12/19/2006
Last updated
10/22/2012
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