Premier Dental Wellness Llc | |
1130 Brampton Ave Statesboro GA 30458-0847 | |
(912) 764-3724 | |
(912) 489-3721 |
Full Name | Premier Dental Wellness Llc |
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Speciality | Dentist - General Practice |
Location | 1130 Brampton Ave, Statesboro, Georgia |
Authorized Official Name and Position | Richard Frank Marz (DENTIST) |
Authorized Official Contact | 9126823815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Dental Wellness Llc 1130 Brampton Ave Statesboro GA 30458-0847 Ph: (912) 764-3724 | Premier Dental Wellness Llc 1130 Brampton Ave Statesboro GA 30458-0847 Ph: (912) 764-3724 |
NPI Number | 1740038074 |
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Provider Enumeration Date | 05/10/2024 |
Last Update Date | 05/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740038074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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