Golden Isles Center For Exceptional Dentistry, P.c.

NPI 1073886420 - Dentist - 1223G0001X

NPI Details
NPI 1073886420
Enumeration Date 02/15/2012
Last Updated 02/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANGELA ANGELA
Position OWNER
Phone (912) 264-5550
Fax (912) 264-5255
Practice Location
110 PROFESSIONAL CENTER DR
BRUNSWICK GA, 31525-6743, US
Phone (912) 264-5550
Fax (912) 264-5255
Business Location
110 PROFESSIONAL CENTER DR
BRUNSWICK GA, 31525-6743, US
Phone (912) 264-5550
Fax (912) 264-5255
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 11076
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According to our database, Golden Isles Center For Exceptional Dentistry, P.c. NPI is 1073886420, taxonomy code is 1223G0001X and license number is 11076, license state is located at Georgia. Golden Isles Center For Exceptional Dentistry, P.c. physically located at 110 Professional Center Dr, Brunswick GA, 31525-6743. NPI Number 1033115704 has the healthcare provider type.

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1073886420 NPI number is provided on an as is basis without warranty of any kind. 1073886420 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Isles Center For Exceptional Dentistry, P.c. are for informational purposes only.