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1083834063
KEVIN T SPILLANE
WOODSTOCK, GA
NPI
1083834063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA 10246)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. KEVIN T SPILLANE DMD
335 PARKWAY 575 SUITE 200
WOODSTOCK, GA 30188-6433
Phone number: 770-928-4747
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Mailing Address
Dr. KEVIN T SPILLANE DMD
335 PARKWAY 575 SUITE 200
WOODSTOCK, GA 30188-6433
Phone number: 770-928-4747
Copy
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