NPI age
13 years
Enumerated 2012-10-08
Across 2660 active dentist providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003125834A | |
| 05 (GA) | 191678896B |
Multi-provider organization. 3 individual providers on file at this primary address.
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