NPI age
19 years
Enumerated 2007-01-25
Across 2660 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 1303310 | UNITED CONCORDIA |
| 05 (SC) | ZX3811 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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