NPI age
18 years
Enumerated 2007-06-28
Across 358 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DN013534 | DENTIST |
| 05 (GA) | 003110225G | |
| 05 (SC) | ZX7147 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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