Organization
STEPHEN GEORGE DMD PLLC
Active
Other names
The Main Street Dentists, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W GEORGE DMD (MANAGER)
(352) 787-4800
Entity
Organization
Contact information
Practice address
606 W MAGNOLIA ST, LEESBURG, FL 34748-5892
(352) 787-4800
Mailing address
606 W MAGNOLIA ST, LEESBURG, FL 34748-5892
(352) 787-4800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/12/2021
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