NPI age
19 years
Enumerated 2007-02-07
Across 358 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000770602A | |
| 01 (GA) | 9184376 | DORAL DENTAL MEDICAID |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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