NPI age
9 years
Enumerated 2016-11-22
Across 2660 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1225110356 | INDIVIDUAL NPI |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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