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210 Robert C Daniel Jr Pkwy Suite G Augusta GA 30909-0806 | |
| (706) 738-8898 | |
| (706) 738-0035 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 210 Robert C Daniel Jr Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | John C Martin (ORTHODONTIST) |
| Authorized Official Contact | 7067388898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
210 Robert C Daniel Jr Pkwy Suite G Augusta GA 30909-0806 Ph: (706) 738-8898 | 210 Robert C Daniel Jr Pkwy Suite G Augusta GA 30909-0806 Ph: (706) 738-8898 |
| NPI Number | 1831236611 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831236611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 008367 (Georgia) | Primary |
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