Greenlea Dental Center Pc

NPI 1013132372 - Dentist - 1223G0001X

NPI Details
NPI 1013132372
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JUDY JUDY
Position DENTIST
Phone (770) 306-2996
Fax (770) 306-0004
Practice Location
6740 SHANNON PKWY STE 2
UNION CITY GA, 30291-2058, US
Phone (770) 306-2996
Fax (770) 306-0004
Business Location
6740 SHANNON PKWY STE 2
UNION CITY GA, 30291-2058, US
Phone (770) 306-2996
Fax (770) 306-0004
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number GA10999
Remove 1013132372 NPI Number
 

According to our database, Greenlea Dental Center Pc NPI is 1013132372, taxonomy code is 1223G0001X and license number is GA10999, license state is located at Georgia. Greenlea Dental Center Pc physically located at 6740 Shannon Pkwy Ste 2, Union City GA, 30291-2058. NPI Number 1033115704 has the healthcare provider type.

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1013132372 NPI number is provided on an as is basis without warranty of any kind. 1013132372 is maintained by the National Plan & Provider Enumeration System. The contents of Greenlea Dental Center Pc are for informational purposes only.