| Central Georgia Periodontics & Dental Implants Llc | |
|
225 Carl Vinson Pkwy Warner Robins GA 31088-5831 | |
| (478) 923-0232 | |
| (478) 929-3382 |
| Full Name | Central Georgia Periodontics & Dental Implants Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 225 Carl Vinson Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Vinamra Bhasin (MEMBER) |
| Authorized Official Contact | 4789230232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Georgia Periodontics & Dental Implants Llc 225 Carl Vinson Pkwy Warner Robins GA 31088-5831 Ph: (478) 923-0232 | Central Georgia Periodontics & Dental Implants Llc 225 Carl Vinson Pkwy Warner Robins GA 31088-5831 Ph: (478) 923-0232 |
| NPI Number | 1184991887 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184991887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN 013545 (Georgia) | Secondary |
| 1223P0300X | Dentist - Periodontics | 7417 (Georgia) | Primary |
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