NPI age
19 years
Enumerated 2006-09-29
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (PR) | 660386268-03 | MCS |
| 01 (PR) | 40157AV | TRIPLE S |
| 01 (PR) | 100141 | CRUZ AZUL |
| 01 (PR) | 9260215 | HUMANA |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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