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Organization

THOMASVILLE DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY LEANNE BURTHOLD (OFFICE MANAGER)
(229) 227-9070
Entity
Organization

Contact information

Practice address
396 LIBERTY STREET, THOMASVILLE, GA 31757-4822
(229) 227-9070
(229) 227-6299
Mailing address
396 LIBERTY STREET, THOMASVILLE, GA 31757-4822
(229) 227-9070
(229) 227-6299

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/10/2019
Last updated
09/10/2019
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