Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Kelleytown Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
3420 HIGHWAY 155 N, MCDONOUGH, GA 30252-5507
(678) 470-5945
(678) 470-5946
Mailing address
3420 HIGHWAY 155 N, MCDONOUGH, GA 30252-5507
(678) 470-5945
(678) 470-5946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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