Organization
SEQUOIA DENTAL ASSISTING SCHOOL
Active
Other names
Sequoia Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH BENNETT DMD (OWNER/PROVIDER)
(478) 621-7657
Entity
Organization
Contact information
Practice address
4226 HARTLEY BRIDGE RD STE 102, MACON, GA 31216-4116
(478) 621-7657
(478) 621-7713
Mailing address
4226 HARTLEY BRIDGE RD STE 102, MACON, GA 31216-4116
(478) 621-7657
(478) 621-7713
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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