STATESBORO CHILDREN'S DENTAL CENTER, PC

STATESBORO, GA
NPI1831372119
Entity TypeOrganization
Authorized ContactJOHN L WASDIN
Owner
912-871-6197
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
(Licence: GA  DN011889)
Enumeration Date2007-12-10
Last Update Date2007-12-10
Business Address
STATESBORO CHILDREN'S DENTAL CENTER, PC
1501 BRAMPTON AVE
STATESBORO, GA 30458-0856
Phone number: 912-871-6197
Mailing Address
STATESBORO CHILDREN'S DENTAL CENTER, PC
1501 BRAMPTON AVE
STATESBORO, GA 30458-0856
Phone number: 912-871-6197