Organization
ADVANCED ATHENS DENTISTRY, PC
Active
Other names
Advanced Dentistry of Athens
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL S LEDBETTER (TREASURER)
(404) 695-0428
Entity
Organization
Contact information
Practice address
1155 CEDAR SHOALS DR, ATHENS, GA 30605-3592
(706) 546-8720
Mailing address
1155 CEDAR SHOALS DR, ATHENS, GA 30605-3592
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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