NPI age
17 years
Enumerated 2008-11-04
Across 4309 active dentist providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 195139217B | |
| 05 (GA) | 000167681A |
Multi-provider organization. 2 individual providers on file at this primary address.
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