West Georgia Dental of La Grange,pc

NPI #1083648216 in Lagrange, Georgia

Provider Information

NPI Number
1083648216
Entity Type
Organization
Organization Name
West Georgia Dental of La Grange,pc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1555 DOCTORS DR STE 105
State
Georgia
ZIP Code
30240-4132
Phone
(706) 812-8220

Authorized Official

Name
DR. TARA MILLIGAN ALLEN, DDS
Title
PRESIDENT
Phone
(706) 812-8220

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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