Organization
CLAXTON FAMILY DENTISTRY LLC
Active
Other names
Glennville Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ZACKARY L. BENTLEY (OWNER)
(912) 557-6307
Entity
Organization
Contact information
Practice address
402 N VETERANS BLVD, GLENNVILLE, GA 30427-2054
(912) 559-0120
Mailing address
402 N VETERANS BLVD, GLENNVILLE, GA 30427-2054
(912) 559-0120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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