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1164440095
THEODIS ELZIE
SMYRNA, GA
NPI
1164440095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA 010679)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Dr. THEODIS ELZIE D.D.S.
705 WINDY HILL RD SE
SMYRNA, GA 30080-1854
Phone number: 770-801-1641
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Mailing Address
Dr. THEODIS ELZIE D.D.S.
705 WINDY HILL RD SE
SMYRNA, GA 30080-1854
Phone number: 770-801-1641
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