NPI age
19 years
Enumerated 2006-11-27
Across 4309 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | F0076 | BLUE CROSS OF LA |
| 01 | 045607 | UNITED CONCORDIA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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