| Cedartown Dentistry P.c. | |
|
102 East Ave Cedartown GA 30125-2922 | |
| (404) 617-0264 | |
| Not Available |
| Full Name | Cedartown Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 East Ave, Cedartown, Georgia |
| Authorized Official Name and Position | Mauzard Benjamin (OWNER) |
| Authorized Official Contact | 4046170264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedartown Dentistry P.c. 102 East Ave Cedartown GA 30125-2922 Ph: () - | Cedartown Dentistry P.c. 102 East Ave Cedartown GA 30125-2922 Ph: (404) 617-0264 |
| NPI Number | 1982153938 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 09/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982153938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13549 (Georgia) | Primary |
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