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1114116365
ROBERT H SHACKELFORD
SUWANEE, GA
NPI
1114116365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 9972)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
Dr. ROBERT H SHACKELFORD DDS
3915 JOHNS CREEK CT STE 110
SUWANEE, GA 30024-1265
Phone number: 770-442-8472
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Mailing Address
Dr. ROBERT H SHACKELFORD DDS
3915 JOHNS CREEK CT STE 110
SUWANEE, GA 30024-1265
Phone number: 770-442-8472
Copy
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