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Centre' For Cosmetic Dentistry

Dentist, General Practice in Albany, GA. Organization (NPI-2).

NPI number1669721452
StatusActive
Last updated in NPPESSep 7, 2012

Details

NPI
1669721452
Entity type
Organization (NPI-2)
Legal business name
Centre' For Cosmetic Dentistry
Organization subpart
No
Enumeration date
Sep 7, 2012
Last updated
Sep 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN011294GAYes

Practice location

2824 Gillionville Rd
Albany, GA 31721-2904

Phone 229-883-3443 · Fax 229-883-6755

Mailing address

Po Box 72267
Albany, GA 31708-2267

Phone 229-883-3443 · Fax 229-883-6755

Authorized official

Sonya Taylor Acree
Owner
2298833443

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