NPI age
19 years
Enumerated 2007-02-07
Across 358 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 02643168 | |
| 01 (GA) | 9183964 | DORAL DENTAL MEDICAID |
| 01 (SC) | ZZ9669 | SOUTH CAROLINA |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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