NPI age
19 years
Enumerated 2006-10-16
Across 2660 active dentist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00275316D | |
| 01 (GA) | 100665 | AVESIS |
| 01 (GA) | 9180604 | DORAL |
| 05 (GA) | 00275316H |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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