Organization
DENTAL PROFESSIONALS OF GEORGIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY HOWARD (CRED COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
645 BEAVER RUIN RD NW STE A, LILBURN, GA 30047-3471
(770) 381-9320
Mailing address
645 BEAVER RUIN RD NW STE A, LILBURN, GA 30047-3471
(770) 381-9320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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