Organization
JEREMY D. WOOD, D.M.D, PC
Active
Other names
Darby Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ALLEN (DENTAL ASSISTANT)
(912) 537-3377
Entity
Organization
Contact information
Practice address
310 JACKSON ST, VIDALIA, GA 30474-4708
(912) 537-3377
(912) 538-7010
Mailing address
310 JACKSON ST, VIDALIA, GA 30474-4708
(912) 537-3377
(912) 538-7010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013906
GA
Other
Enumeration date
03/12/2012
Last updated
04/15/2015
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