NPI age
9 years
Enumerated 2016-06-17
Across 539 active dentist providers in Georgia.
9 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 773054619H | |
| 05 (GA) | 773054619G |
Multi-provider organization. 9 individual providers on file at this primary address.
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