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Organization

ATHENS DENTAL GROUP LLC

Active
Other names
Aesthetic Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANT SANDIFER DMD (OWNER)
(706) 353-1958
Entity
Organization

Contact information

Practice address
1520 JENNINGS MILL RD STE A, WATKINSVILLE, GA 30677-7308
(706) 353-1958
Mailing address
1520 JENNINGS MILL RD STE A, WATKINSVILLE, GA 30677-7308
(706) 353-1958

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/06/2023
Last updated
06/06/2023
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