Organization
T. DALE TWILLEY, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DALE TWILLEY D.M.D. (PRESIDENT)
(706) 886-1424
Entity
Organization
Contact information
Practice address
735 BIG A RD S, TOCCOA, GA 30577-3166
(706) 886-1424
(706) 282-4061
Mailing address
735 BIG A RD S, TOCCOA, GA 30577-3166
(706) 886-1424
(706) 282-4061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8302
GA
Other
Enumeration date
01/25/2007
Last updated
07/15/2008
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