Valdosta Center for Cosmetic Dentistry, INC

NPI #1154723518 in Valdosta, Georgia

Provider Information

NPI Number: 1154723518
Entity Type: Organization
Organization Name: Valdosta Center for Cosmetic Dentistry, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 17, 2014
Last Updated: Sep 17, 2014

Practice Location

Address: 802 NORTHWOOD PARK DR
City: Valdosta
State: Georgia
ZIP Code: 31602-1392
Phone: (229) 242-0825

Authorized Official

Name: DR. JAMES B. BYNUM SR., D.M.D.
Title: OWNER
Phone: (229) 242-0825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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