Valdosta Dental Associates

NPI #1164605051 in Valdosta, Georgia

Provider Information

NPI Number: 1164605051
Entity Type: Organization
Organization Name: Valdosta Dental Associates
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 103 W CRANFORD AVE
City: Valdosta
State: Georgia
ZIP Code: 31602-2930
Phone: (229) 249-0717

Authorized Official

Name: TRACY GILBERT
Title: OFFICE MANAGER
Phone: (229) 249-0717

Specialties & Taxonomy Codes

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

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