NPI age
19 years
Enumerated 2006-07-29
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 100190 | AVESIS PROVIDER NUMBER |
| 01 (GA) | 9180034 | DORAL DENTAL USA PROVIDER |
| 05 (GA) | 000202243B |
Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.
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