Macon Periodontics and Implant Dentistry, LLC
NPI #1457606881 in Macon, Georgia
Provider Information
- NPI Number
- 1457606881
- Entity Type
- Organization
- Organization Name
- Macon Periodontics and Implant Dentistry, LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 23, 2012
- Last Updated
- Jul 23, 2012
Practice Location
Authorized Official
- Name
- MS. KAY WILLIS
- Title
- BUSINESS COORDINATOR
- Phone
- (478) 742-4254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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