Organization
CENTRAL GEORGIA PERIODONTICS AND DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINAMRA BHASIN D.M.D. M.H. (MEMBER)
(478) 923-0232
Entity
Organization
Contact information
Practice address
225 CARL VINSON PARKWAY, WARNER ROBINS, GA 31088
(478) 923-0232
(478) 929-3382
Mailing address
225 CARL VINSON PARKWAY, WARNER ROBINS, GA 31088
(478) 923-0232
(478) 929-3382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7417
GA
122300000X
Dentist
DN 013545
GA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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