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Mossy Oak Dental, Llc
Dental Clinic/Center in Leesburg, Georgia
NPI 1992290415

Mossy Oak Dental, Llc is a Dental Clinic/Center based in Albany, GA and is specialized in Dental. Mossy Oak Dental, Llc practices in Leesburg, GA. The NPI Number for Mossy Oak Dental, Llc is 1992290415 and holds a License No. DN012008 (Georgia).

The current practice location address for Mossy Oak Dental, Llc is 119 Carlton Dr, Leesburg, GA and can be reached out via phone at 229-436-7231.

Location: 119 Carlton Dr, Leesburg, GA, 31708-1307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992290415
Provider Name
Mossy Oak Dental, Llc
Credential
Provider Entity Type
Organization
Address
119 Carlton Dr, Leesburg, GA, 31708-1307
Phone Number
229-436-7231
Fax Number
Provider Enumeration Date
06/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
119 Carlton Dr
City
Leesburg
State
Georgia
Zip
31763-5652
Phone Number
229-436-7231
Fax Number
person
Provider Business Mailing Address Details
Address
119 Carlton Dr
City
Leesburg
State
Georgia
Zip
31763-5652
Phone Number
229-436-7231
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN012008 (Georgia)
Definition
Definition to come...
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