Organization · Type 2 NPI
Mossy Oak Dental, LLC
Dental Clinic/Center · Leesburg, GA
NPI number
1992290415
Active
Practice location
119 Carlton Dr
Leesburg, GA 31763-5652
Mailing address
PO Box 71307
Albany, GA 31708-1307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN012008 (GA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1992290415
Mossy Oak Dental, LLC's National Provider Identifier is 1992290415, issued on Jun 27, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Leesburg, GA. The record was last updated on Jun 27, 2018.