NPI age
19 years
Enumerated 2007-01-25
Across 2660 active dentist providers in Georgia.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00351843A | |
| 05 (GA) | 100805 | |
| 05 (GA) | 9183572 |
Multi-provider organization. 8 individual providers on file at this primary address.
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