Mdg - Woodstock Dental, LLC

NPI #1982394813 in Woodstock, Georgia

Provider Information

NPI Number
1982394813
Entity Type
Organization
Organization Name
Mdg - Woodstock Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 12, 2023
Last Updated
May 12, 2023

Practice Location

Address
650 CLAREMORE PROFESSIONAL WAY
State
Georgia
ZIP Code
30188-5188
Phone
(770) 384-8505

Authorized Official

Name
MS. CARLEY LEANN HERRICK
Title
ATTORNEY
Phone
(801) 726-6836

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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