Provider First Line Business Practice Location Address:
AUGUSTA UNIVERSITY, THE DENTAL COLLEGE OF GEORGIA
Provider Second Line Business Practice Location Address:
1120 15TH STREET, GC 5110
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30912-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-721-2251
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2019