Ga Dentistry Services Pc

NPI 1053739979 - Dentist - 1223G0001X

NPI Details
NPI 1053739979
Enumeration Date 03/29/2014
Last Updated 03/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CANDACE CANDACE
Position DMD/INCORPORATOR
Phone (678) 537-6000
Fax
Practice Location
1430 HIGHWAY 20 W
MCDONOUGH GA, 30253-7305, US
Phone (678) 537-6000
Fax
Business Location
PO BOX 3189
SYRACUSE NY, 13220-3189, US
Phone (315) 454-6000
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 13892
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According to our database, Ga Dentistry Services Pc NPI is 1053739979, taxonomy code is 1223G0001X and license number is 13892, license state is located at Georgia. Ga Dentistry Services Pc physically located at 1430 Highway 20 W, Mcdonough GA, 30253-7305. NPI Number 1033115704 has the healthcare provider type.

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1053739979 NPI number is provided on an as is basis without warranty of any kind. 1053739979 is maintained by the National Plan & Provider Enumeration System. The contents of Ga Dentistry Services Pc are for informational purposes only.