NPI age
17 years
Enumerated 2008-08-22
Across 539 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000046582Y | |
| 05 (GA) | 500132139C | |
| 05 (GA) | 000851727B |
Single-site organization. Only one practice location on file.
Subpart of Childrens Dentistry At Gainesville.
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