NPI age
20 years
Enumerated 2006-05-04
Across 23 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00775222A | |
| 05 (SC) | ZG0254 |
Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.
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