Eisenhower Parkway Dental Group, LLC

NPI #1073063228 in Macon, Georgia

Provider Information

NPI Number
1073063228
Entity Type
Organization
Organization Name
Eisenhower Parkway Dental Group, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 12, 2016
Last Updated
Jul 5, 2018

Practice Location

Address
1536 EISENHOWER PKWY
City
Macon
State
Georgia
ZIP Code
31206
Phone
(478) 781-4333

Authorized Official

Name
LINDA SUSAN ZOELLER
Title
AUTHORIZED OFFICIAL
Phone
(615) 988-2627

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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