Organization
F. MARION DURST III DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN HENSON (OM)
(706) 736-7146
Entity
Organization
Contact information
Practice address
2325 WASHINGTON ROAD, AUGUSTA, GA 30904
(706) 736-7146
Mailing address
2325 WASHINGTON ROAD, AUGUSTA, GA 30904
(706) 736-7146
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN008119
GA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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