Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Dental Care of Bonaire
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
516 GA HIGHWAY 247 S, BONAIRE, GA 31005-3865
(478) 273-2562
(478) 551-4152
Mailing address
516 GA HIGHWAY 247 S, BONAIRE, GA 31005-3865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
08/08/2019
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