NPI age
20 years
Enumerated 2005-07-16
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 9181476 | WELLCARE-DORAL |
| 01 | 820713 | UNITED CONCORDIA |
| 05 (GA) | 00318029A | |
| 01 | 100661 | PEACHSTATE-AVESIS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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