Element Group Corporation | |
3456 Wrightsboro Rd Augusta GA 30909-2678 | |
(706) 251-7917 | |
Not Available |
Full Name | Element Group Corporation |
---|---|
Speciality | Dentist - General Practice |
Location | 3456 Wrightsboro Rd, Augusta, Georgia |
Authorized Official Name and Position | Sydney Okonoboh (OWNER) |
Authorized Official Contact | 7062517917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Element Group Corporation Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Element Group Corporation 3456 Wrightsboro Rd Augusta GA 30909-2678 Ph: (706) 251-7917 |
NPI Number | 1982398269 |
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Provider Enumeration Date | 06/08/2023 |
Last Update Date | 06/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982398269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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