| Patriots Park Dental | |
|
2054 Warrior Way Grovetown GA 30813-8132 | |
| (706) 664-0744 | |
| (706) 664-0747 |
| Full Name | Patriots Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2054 Warrior Way, Grovetown, Georgia |
| Authorized Official Name and Position | Thomas Moreno (OWNER) |
| Authorized Official Contact | 7066640744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriots Park Dental 2054 Warrior Way Grovetown GA 30813-8132 Ph: (706) 664-0744 | Patriots Park Dental 2054 Warrior Way Grovetown GA 30813-8132 Ph: (706) 664-0744 |
| NPI Number | 1689002610 |
|---|---|
| Provider Enumeration Date | 10/30/2013 |
| Last Update Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689002610 | NPI | - | NPPES |
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