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1063870988
NATASHA DIAZ-VIDAL
SUGAR HILL, GA
NPI
1063870988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: GA DN015001)
Enumeration Date
2016-02-05
Last Update Date
2016-02-05
Business Address
-- NATASHA DIAZ-VIDAL DMD
171 DANIEL CREEK LN
SUGAR HILL, GA 30518-8029
Phone number: 770-572-2480
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Mailing Address
-- NATASHA DIAZ-VIDAL DMD
171 DANIEL CREEK LN
SUGAR HILL, GA 30518-8029
Phone number: 770-572-2480
Copy
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