| Lauderdale Dental Llc | |
|
6783 Veterans Pkwy Columbus GA 31909-3254 | |
| (706) 321-3909 | |
| Not Available |
| Full Name | Lauderdale Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6783 Veterans Pkwy, Columbus, Georgia |
| Authorized Official Name and Position | Candace Lauderdale (DMD/OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauderdale Dental Llc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Lauderdale Dental Llc 6783 Veterans Pkwy Columbus GA 31909-3254 Ph: (706) 321-3909 |
| NPI Number | 1295152254 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295152254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13892 (Georgia) | Primary |
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