Organization
D L STONE DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE L STONE DMD (OWNER)
(706) 356-8212
Entity
Organization
Contact information
Practice address
5771 VICKERY ST, LAVONIA, GA 30553-1552
(706) 356-8212
Mailing address
5771 VICKERY ST, LAVONIA, GA 30553-1552
(706) 356-8212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
008810
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000137849A
—
GA
Enumeration date
03/12/2018
Last updated
03/12/2018
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