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1083767008
LARRY VERDELL THIGPEN
MACON, GA
NPI
1083767008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 9853)
Enumeration Date
2007-01-21
Last Update Date
2007-07-08
Business Address
Dr. LARRY VERDELL THIGPEN D.D.S.
3041 VINEVILLE AVE
MACON, GA 31204-2460
Phone number: 478-750-0003
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Mailing Address
Dr. LARRY VERDELL THIGPEN D.D.S.
3041 VINEVILLE AVE
MACON, GA 31204-2460
Phone number: 478-750-0003
Copy
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