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1023793007
ZACHARY WILSON
FAYETTEVILLE, GA
NPI
1023793007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA 124058)
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
ZACHARY WILSON DMD
171 PRICE RD
FAYETTEVILLE, GA 30215-2016
Phone number: 770-460-9795
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Mailing Address
ZACHARY WILSON DMD
PO BOX 38
FAYETTEVILLE, GA 30214-0038
Phone number:
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