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1487173217
BREMEN DENTAL DEPOT LLC
BREMEN, GA
NPI
1487173217
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Entity Type
Organization
Authorized Contact
STEPHEN J BLANK
Owner
678-822-4714
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-09-13
Last Update Date
2022-07-21
Business Address
BREMEN DENTAL DEPOT LLC
302 LAUREL ST
BREMEN, GA 30110-2124
Phone number: 770-537-4439
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Mailing Address
BREMEN DENTAL DEPOT LLC
302 LAUREL ST
BREMEN, GA 30110-2124
Phone number: 770-537-4439
Copy
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