Bremen Dental Depot LLC

NPI #1487173217 in Bremen, Georgia

Provider Information

NPI Number
1487173217
Entity Type
Organization
Organization Name
Bremen Dental Depot LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 13, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
302 LAUREL ST
City
Bremen
State
Georgia
ZIP Code
30110-2124
Phone
(770) 537-4439

Authorized Official

Name
DR. STEPHEN J BLANK, DDS
Title
OWNER
Phone
(678) 822-4714

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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