Organization
REED CREEK DENTAL LLC
Active
Other names
Reed Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE TAYLOR ROSS DMD (OWNER)
(705) 868-6177
Entity
Organization
Contact information
Practice address
4213 COLUMBIA RD, MARTINEZ, GA 30907-1481
(706) 868-6177
Mailing address
4213 COLUMBIA RD, MARTINEZ, GA 30907-1481
(706) 868-6177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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