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1164434775
PORTIA MAXINE GRAYSON
ATLANTA, GA
NPI
1164434775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN012800)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
-- PORTIA MAXINE GRAYSON DDS
321 PHARR ROAD SUITE A
ATLANTA, GA 30305
Phone number: 404-917-1111
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Mailing Address
-- PORTIA MAXINE GRAYSON DDS
321 PHARR ROAD SUITE A
ATLANTA, GA 30305
Phone number: 404-917-1111
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