Bentwater Cosmetic and Family Dentistry
NPI #1154069391 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1154069391
- Entity Type
- Organization
- Organization Name
- Bentwater Cosmetic and Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 26, 2022
- Last Updated
- Jul 27, 2022
Practice Location
- Address
- 351 THORNTON RD STE 101
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-1589
- Phone
- (770) 944-9755
Authorized Official
- Name
- TIFFANY THRELKELD, DO
- Title
- BUSINESS MANAGER
- Phone
- (678) 499-3514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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