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1003019050
WALTER FULLER YOUNG
ATLANTA, GA
NPI
1003019050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA 007392)
Enumeration Date
2007-06-07
Last Update Date
2008-10-24
Business Address
Dr. WALTER FULLER YOUNG DDS
2265 CASCADE RD SW
ATLANTA, GA 30311-2801
Phone number: 404-753-4753
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Mailing Address
Dr. WALTER FULLER YOUNG DDS
2265 CASCADE RD SW
ATLANTA, GA 30311-2801
Phone number: 404-753-4753
Copy
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