NPI age
18 years
Enumerated 2007-12-05
Across 49 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000153414F | |
| 01 (GA) | 9208296 | DORAL |
| 05 (GA) | 000153414E | |
| 01 (GA) | 102300 | AVESIS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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