GA SOUTHERN DENTAL LLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1053139519- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3298 NORTHSIDE DR, MACON, GA, 312102553
- Phone
- (478) 475-1976
Specialties & Taxonomies
Dentist
Primary
All Addresses
MAILING
5830 GRANITE PKWY STE 780
PLANO, TX, 750246775