PROVIDENCE DENTAL LLC

MACON, GA
NPI1437995503
Doing Business AsINSPIRE DENTAL ROSWELL
Entity TypeOrganization
Authorized ContactHEATHER TAYLOR
Director
478-733-0857
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-07-08
Last Update Date2024-07-08
Business Address
PROVIDENCE DENTAL LLC
225 N MACON ST
MACON, GA 31210-6562
Phone number: 478-733-0857
Mailing Address
PROVIDENCE DENTAL LLC
555 SUN VALLEY DR STE C3
ROSWELL, GA 30076-5621
Phone number: 770-643-9499