Organization
HOWARD FAMILY DENTAL-POOLER, LLC
Active
Other names
Howard Family Dental - Pooler North
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARDUE (DIRECTOR OF REVENUE CYCLE)
(502) 548-2402
Entity
Organization
Contact information
Practice address
810 TOWNE CENTER BLVD UNIT 107, POOLER, GA 31322-4303
(502) 254-8500
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 548-2402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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