Edelweiss Pd, LLC
NPI #1104651900 in Watkinsville, Georgia
Provider Information
- NPI Number
- 1104651900
- Entity Type
- Organization
- Organization Name
- Edelweiss Pd, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 3, 2024
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 1360 CADUCEUS WAY STE 103
- City
- Watkinsville
- State
- Georgia
- ZIP Code
- 30677-7300
- Phone
- (706) 548-7373
Authorized Official
- Name
- DR. BRIAN JOCK, DMD
- Title
- OWNER
- Phone
- (706) 548-7373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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