| Edelweiss Pd, Llc | |
|
1360 Caduceus Way Ste 103 Watkinsville GA 30677-7300 | |
| (706) 548-7373 | |
| Not Available |
| Full Name | Edelweiss Pd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1360 Caduceus Way Ste 103, Watkinsville, Georgia |
| Authorized Official Name and Position | Brian Jock (OWNER) |
| Authorized Official Contact | 7065487373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edelweiss Pd, Llc 1360 Caduceus Way Ste 103 Watkinsville GA 30677-7300 Ph: (706) 548-7373 | Edelweiss Pd, Llc 1360 Caduceus Way Ste 103 Watkinsville GA 30677-7300 Ph: (706) 548-7373 |
| NPI Number | 1104651900 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104651900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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