SOUTH GEORGIA PERIODONTICS, PC

VALDOSTA, GA
NPI1194981910
Entity TypeOrganization
Authorized ContactBRENT B. DEPTA
Owner
229-247-0437
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
Enumeration Date2008-07-31
Last Update Date2008-07-31
Business Address
SOUTH GEORGIA PERIODONTICS, PC
307 GEORGETOWN CIR
VALDOSTA, GA 31602-4113
Phone number: 229-247-0437
Mailing Address
SOUTH GEORGIA PERIODONTICS, PC
307 GEORGETOWN CIR
VALDOSTA, GA 31602-4113
Phone number: 229-247-0437
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