BENJAMIN M PRIDEMORE

ROME, GA
NPI1336153592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA  DN007095)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- BENJAMIN M PRIDEMORE DDS
23 JOHN MADDOX DR NW
ROME, GA 30165-1413
Phone number: 706-234-0877
Mailing Address
-- BENJAMIN M PRIDEMORE DDS
23 JOHN MADDOX DR NW
ROME, GA 30165-1413
Phone number: 706-234-0877
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