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1104030477
MARTIN BOECKH
AUSTELL, GA
NPI
1104030477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 7521)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- MARTIN BOECKH
3845 MEDICAL PARK DR
AUSTELL, GA 30106-1109
Phone number: 770-739-2100
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Mailing Address
-- MARTIN BOECKH
3845 MEDICAL PARK DR
AUSTELL, GA 30106-1109
Phone number: 770-739-2100
Copy
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