| Mdg - Woodstock Dental, Llc | |
|
650 Claremore Professional Way Woodstock GA 30188-5188 | |
| (770) 384-8505 | |
| Not Available |
| Full Name | Mdg - Woodstock Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 650 Claremore Professional Way, Woodstock, Georgia |
| Authorized Official Name and Position | Carley Leann Herrick (ATTORNEY) |
| Authorized Official Contact | 8017266836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdg - Woodstock Dental, Llc 650 Claremore Professional Way Woodstock GA 30188-5188 Ph: (770) 384-8505 | Mdg - Woodstock Dental, Llc 650 Claremore Professional Way Woodstock GA 30188-5188 Ph: (770) 384-8505 |
| NPI Number | 1982394813 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982394813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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