STATESBORO PEDIATRIC DENTISTRY, LLC

STATESBORO, GA
NPI1568935286
Entity TypeOrganization
Authorized ContactANJALI PURI PATEL
Dentist/Owner
478-456-5907
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2019-01-04
Last Update Date2019-01-04
Business Address
STATESBORO PEDIATRIC DENTISTRY, LLC
613 E GRADY ST
STATESBORO, GA 30458-5104
Phone number: 478-456-5907
Mailing Address
STATESBORO PEDIATRIC DENTISTRY, LLC
101 IRONGATE PL
STATESBORO, GA 30458-9195
Phone number: 478-456-5907