Organization
CLIFFORD AVENUE DENTAL LLC
Active
Other names
Screven Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
112 CLIFFORD AVE, SYLVANIA, GA 30467-2012
(912) 564-7107
(912) 564-9349
Mailing address
112 CLIFFORD AVE, SYLVANIA, GA 30467-2012
(912) 564-7107
(912) 564-9349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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