Lauderdale Dental LLC

NPI #1295152254 in Columbus, Georgia

Provider Information

NPI Number: 1295152254
Entity Type: Organization
Organization Name: Lauderdale Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 27, 2014
Last Updated: Mar 27, 2014

Practice Location

Address: 6783 VETERANS PKWY
City: Columbus
State: Georgia
ZIP Code: 31909-3254
Phone: (706) 321-3909

Authorized Official

Name: CANDACE LAUDERDALE, DMD
Title: DMD/OWNER
Phone: (315) 454-6000

Specialties & Taxonomy Codes

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

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