Organization
PREMIER DENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FRANK MARZ DDS (DENTIST)
(912) 682-3815
Entity
Organization
Contact information
Practice address
1130 BRAMPTON AVE, STATESBORO, GA 30458-0847
(912) 764-3724
(912) 489-3721
Mailing address
1130 BRAMPTON AVE, STATESBORO, GA 30458-0847
(912) 764-3724
(912) 489-3721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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