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Organization

AUBURN PERIODONTICS OF COLUMBUS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRITANY FABIAN MATIN DMD (PRESIDENT, CEO)
(334) 444-0571
Entity
Organization

Contact information

Practice address
400 BROOKSTONE CENTRE PKWY STE 100, COLUMBUS, GA 31904-3640
(706) 222-7149
Mailing address
400 BROOKSTONE CENTRE PKWY STE 100, COLUMBUS, GA 31904-3640
(706) 222-7149

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1223P0700X
Prosthodontics

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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