Moon Road Cosmetic & Family Dentistry | |
7209 Moon Rd Columbus GA 31909-1798 | |
(706) 243-3000 | |
Not Available |
Full Name | Moon Road Cosmetic & Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 7209 Moon Rd, Columbus, Georgia |
Authorized Official Name and Position | Dayo Obebe (DIRECTOR) |
Authorized Official Contact | 7062433000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Moon Road Cosmetic & Family Dentistry 7209 Moon Rd Columbus GA 31909-1798 Ph: (706) 243-3000 | Moon Road Cosmetic & Family Dentistry 7209 Moon Rd Columbus GA 31909-1798 Ph: (706) 243-3000 |
NPI Number | 1790970614 |
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Provider Enumeration Date | 09/13/2007 |
Last Update Date | 09/13/2007 |
Identifier | Type | State | Issuer |
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1790970614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 011235 (Georgia) | Secondary |
261QD0000X | Clinic/center - Dental | 011235 (Georgia) | Primary |
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