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Organization

WARNER ROBINS PEDIATRIC DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON DANIEL PENNINGTON DMD (OWNER)
(478) 449-4200
Entity
Organization

Contact information

Practice address
102 S HOUSTON RD, WARNER ROBINS, GA 31088-3904
(205) 253-1503
Mailing address
4949 GUERRY DR, MACON, GA 31210-4127
(205) 253-1503

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
02/26/2019
Last updated
02/26/2019
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