Organization
ROBERT A VAZQUEZ DDS, PC
Active
Other names
Columbus Periodontics & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTING)
(912) 732-1504
Entity
Organization
Contact information
Practice address
3914 ROSEMONT DR, COLUMBUS, GA 31904-5626
(706) 225-2368
Mailing address
3914 ROSEMONT DR, COLUMBUS, GA 31904-5626
(706) 225-2368
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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