NPI age
20 years
Enumerated 2005-07-01
Across 2660 active dentist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1760580641 | NPI |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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