Dental Center of Vidalia

NPI #1104044056 in Vidalia, Georgia

Provider Information

NPI Number
1104044056
Entity Type
Organization
Organization Name
Dental Center of Vidalia
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1209 EAST FIRST STREET
State
Georgia
ZIP Code
30474
Phone
(912) 537-7048

Authorized Official

Name
ANGIE J. WALLER
Title
FINANCIAL COORDINATOR
Phone
(912) 537-7048

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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