Organization
DENTAL ASSOCIATES OF MIDDLE GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN FRANKLIN HOLCOMB D.M.D. (PRESIDENT)
(478) 956-4278
Entity
Organization
Contact information
Practice address
123 GRALAN DR, BYRON, GA 31008-6344
(478) 956-4278
(478) 956-4278
Mailing address
123 GRALAN DR, BYRON, GA 31008-6344
(478) 956-4278
(478) 956-4278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008277
GA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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