PROVIDENCE DENTAL SPA OF NEWNAN, LLC

NEWNAN, GA
NPI1679231831
Entity TypeOrganization
Authorized ContactPAUL JASON MANN
Managing Partner
770-550-7741
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
PROVIDENCE DENTAL SPA OF NEWNAN, LLC
166 JEFFERSON PKWY
NEWNAN, GA 30263-5822
Phone number: 770-252-1300
Mailing Address
PROVIDENCE DENTAL SPA OF NEWNAN, LLC
225 N MACON ST
MACON, GA 31210-6562
Phone number: 478-733-0857
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