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1831372119
STATESBORO CHILDREN'S DENTAL CENTER, PC
STATESBORO, GA
NPI
1831372119
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Entity Type
Organization
Authorized Contact
JOHN L WASDIN
Owner
912-871-6197
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
(Licence: GA DN011889)
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
STATESBORO CHILDREN'S DENTAL CENTER, PC
1501 BRAMPTON AVE
STATESBORO, GA 30458-0856
Phone number: 912-871-6197
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Mailing Address
STATESBORO CHILDREN'S DENTAL CENTER, PC
1501 BRAMPTON AVE
STATESBORO, GA 30458-0856
Phone number: 912-871-6197
Copy
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