Organization
COVINGTON DENTAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ELLEN CORLEY-ALLEN (OFFICE MANAGER)
(770) 786-9339
Entity
Organization
Contact information
Practice address
10115 CROWN RIDGE DR, COVINGTON, GA 30014-8700
(770) 786-9339
(770) 786-8481
Mailing address
10115 CROWN RIDGE DR, COVINGTON, GA 30014-8700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN014323
GA
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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