Dental Associates of Middle Georgia, LLC

NPI #1922357425 in Byron, Georgia

Provider Information

NPI Number
1922357425
Entity Type
Organization
Organization Name
Dental Associates of Middle Georgia, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 30, 2012
Last Updated
Aug 30, 2012

Practice Location

Address
123 GRALAN DR
City
Byron
State
Georgia
ZIP Code
31008-6344
Phone
(478) 956-4278

Authorized Official

Name
DR. STEPHAN FRANKLIN HOLCOMB, D.M.D.
Title
PRESIDENT
Phone
(478) 956-4278

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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