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1568935286
STATESBORO PEDIATRIC DENTISTRY, LLC
STATESBORO, GA
NPI
1568935286
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Entity Type
Organization
Authorized Contact
ANJALI PURI PATEL
Dentist/Owner
478-456-5907
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
STATESBORO PEDIATRIC DENTISTRY, LLC
613 E GRADY ST
STATESBORO, GA 30458-5104
Phone number: 478-456-5907
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Mailing Address
STATESBORO PEDIATRIC DENTISTRY, LLC
101 IRONGATE PL
STATESBORO, GA 30458-9195
Phone number: 478-456-5907
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