| Pooler Pediatric Dentistry | |
|
120 Towne Center Dr Ste 500 Pooler GA 31322-2034 | |
| (912) 376-9296 | |
| (912) 376-9076 |
| Full Name | Pooler Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 120 Towne Center Dr Ste 500, Pooler, Georgia |
| Authorized Official Name and Position | Carla Guzman Stappenbeck (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9123769296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pooler Pediatric Dentistry 120 Towne Center Dr Ste 500 Pooler GA 31322-2034 Ph: (912) 376-9296 | Pooler Pediatric Dentistry 120 Towne Center Dr Ste 500 Pooler GA 31322-2034 Ph: (912) 376-9296 |
| NPI Number | 1396122834 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 10/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396122834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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