MACON PERIODONTICS AND IMPLANT DENTISTRY, LLC

MACON, GA
NPI1457606881
Entity TypeOrganization
Authorized ContactKAY WILLIS
Business COO Rdinator
478-742-4254
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2012-07-23
Last Update Date2012-07-23
Business Address
MACON PERIODONTICS AND IMPLANT DENTISTRY, LLC
1923 HARDEMAN AVE
MACON, GA 31201-1162
Phone number: 478-742-4254
Mailing Address
MACON PERIODONTICS AND IMPLANT DENTISTRY, LLC
1923 HARDEMAN AVE
MACON, GA 31201-1162
Phone number: 478-742-4254
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