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1154388700
VICKI L WAITS
LAWRENCEVILLE, GA
NPI
1154388700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: GA DN009981)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
-- VICKI L WAITS DDS
15 S CLAYTON ST
LAWRENCEVILLE, GA 30045-5715
Phone number: 770-638-5708
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Mailing Address
-- VICKI L WAITS DDS
PO BOX 897
LAWRENCEVILLE, GA 30046-0897
Phone number: 770-339-4260
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