Organization · Type 2 NPI
Mitchell Bridge Dental II
Dental Clinic/Center · Athens, GA
NPI number
1083850150
Active
Practice location
1171 Mitchell Bridge Rd Ste A
Athens, GA 30606-6475
Fax (706) 543-1052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN010077 (GA) |
| Dental Clinic/Center | 261QD0000X | DN012547 (GA) |
Dental Clinic/Center: Definition to come...
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About NPI 1083850150
Mitchell Bridge Dental II's National Provider Identifier is 1083850150, issued on Dec 19, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Athens, GA. The record was last updated on Dec 19, 2008.