NPI age
7 years
Enumerated 2019-01-22
Across 2660 active dentist providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DN013784 | GEORGIA BOARD OF DENTISTRY |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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