DYESS PARKWAY DENTAL, LLC

AUGUSTA, GA
NPI1275898900
Entity TypeOrganization
Authorized ContactFRED M HANNAN
Dentist
706-868-4200
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  6539)
Enumeration Date2012-07-09
Last Update Date2012-07-09
Business Address
DYESS PARKWAY DENTAL, LLC
4045 JIMMIE DYESS PKWY STE 103
AUGUSTA, GA 30909-9492
Phone number: 706-868-4200
Mailing Address
DYESS PARKWAY DENTAL, LLC
4045 JIMMIE DYESS PKWY STE 103
AUGUSTA, GA 30909-9492
Phone number: 706-868-4200
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