Statesboro Children's Dental Center, PC
NPI #1831372119 in Statesboro, Georgia
Provider Information
- NPI Number
- 1831372119
- Entity Type
- Organization
- Organization Name
- Statesboro Children's Dental Center, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 10, 2007
- Last Updated
- Dec 10, 2007
Practice Location
- Address
- 1501 BRAMPTON AVE
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-0856
- Phone
- (912) 871-6197
Authorized Official
- Name
- DR. JOHN L WASDIN, D.M.D.
- Title
- OWNER
- Phone
- (912) 871-6197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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