Organization
CEDARTOWN DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUZARD BENJAMIN DDS (OWNER)
(404) 617-0264
Entity
Organization
Contact information
Practice address
102 EAST AVE, CEDARTOWN, GA 30125-2922
(404) 617-0264
Mailing address
102 EAST AVE, CEDARTOWN, GA 30125-2922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13549
GA
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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