| Pdaa 2 Evans Llc | |
|
4250 Washington Rd Ste 1 Evans GA 30809-3351 | |
| (706) 524-7628 | |
| Not Available |
| Full Name | Pdaa 2 Evans Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4250 Washington Rd Ste 1, Evans, Georgia |
| Authorized Official Name and Position | Akindeko Obebe (DENTIST) |
| Authorized Official Contact | 2168498097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdaa 2 Evans Llc 4250 Washington Rd Ste 1 Evans GA 30809-3351 Ph: (706) 524-7628 | Pdaa 2 Evans Llc 4250 Washington Rd Ste 1 Evans GA 30809-3351 Ph: (706) 524-7628 |
| NPI Number | 1417764507 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417764507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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