Georgia Dental Professionals, PC

NPI #1215315312 in Tucker, Georgia

Provider Information

NPI Number
1215315312
Entity Type
Organization
Organization Name
Georgia Dental Professionals, PC
Subpart
Yes (part of a larger organization)
Parent Organization
GEORGIA DENTAL PROFESSIONALS, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 11, 2015
Last Updated
May 11, 2015

Practice Location

Address
3983 LAVISTA RD STE 104
City
Tucker
State
Georgia
ZIP Code
30084-5140
Phone
(770) 723-1111

Authorized Official

Name
KIM WILSON
Title
CRED SUP
Phone
(217) 540-5170

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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