NPI age
11 years
Enumerated 2015-04-30
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000583085C | |
| 05 (GA) | 076800461B |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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