NPI age
19 years
Enumerated 2006-11-16
Across 2660 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | ZG1371 | MEDICAID SC |
| 05 (GA) | 265434568D | |
| 01 (GA) | 9183452 | DENTAQUEST GA |
| 05 (GA) | 000686628C |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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