Mdg - Woodstock Dental, LLC
Clinic/Center, Dental in Woodstock, GA. Organization (NPI-2).
NPI number1982394813
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1982394813
- Entity type
- Organization (NPI-2)
- Legal business name
- Mdg - Woodstock Dental, LLC
- Organization subpart
- No
- Enumeration date
- May 12, 2023
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
650 Claremore Professional WayWoodstock, GA 30188-5188
Phone 770-384-8505
Mailing address
650 Claremore Professional WayWoodstock, GA 30188-5188
Phone 770-384-8505
Authorized official
Carley Leann Herrick
Attorney
8017266836
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All 6 Dental Clinic/Center providers in Woodstock · All 2,093 providers in Woodstock
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