NPI age
19 years
Enumerated 2007-01-23
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 100971 | AVESIS |
| 01 (GA) | 9183202 | DORAL |
| 05 (GA) | 00200472A | |
| 05 (GA) | 00200472B | |
| 01 (GA) | 649764 | UNITED CONCORDIA |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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