Georgia Dental Professionals, PC

NPI #1316397037 in Flowery Branch, Georgia

Provider Information

NPI Number
1316397037
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
Jun 14, 2016
Last Updated
Sep 7, 2016

Practice Location

Address
4030 WINDER HIGHWAY
State
Georgia
ZIP Code
30542
Phone
(678) 217-8591

Authorized Official

Name
KENDRA WALKER
Title
CREDENTIALING TEAM LEAD
Phone
(217) 540-8312

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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