Affordable Dentures - Augusta Ii, P.c.

NPI 1164731360 - Dentist - 122300000X

NPI Details
NPI 1164731360
Enumeration Date 10/05/2010
Last Updated 11/29/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RANDLE LEE RANDLE
Position OWNER
Phone (706) 869-1818
Fax
Practice Location
1332 AUGUSTA WEST PKWY
AUGUSTA
AUGUSTA GA, 30909-6427, US
Phone (706) 869-1818
Fax
Business Location
1332 AUGUSTA WEST PKWY
AUGUSTA
AUGUSTA GA, 30909-6427, US
Phone (706) 869-1818
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Affordable Dentures - Augusta Ii, P.c. NPI is 1164731360, taxonomy code is 122300000X Affordable Dentures - Augusta Ii, P.c. physically located at 1332 Augusta West Pkwy, Augusta GA, 30909-6427. NPI Number 1033115704 has the healthcare provider type.

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1164731360 NPI number is provided on an as is basis without warranty of any kind. 1164731360 is maintained by the National Plan & Provider Enumeration System. The contents of Affordable Dentures - Augusta Ii, P.c. are for informational purposes only.