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1184292070
JOSEPH DONALD ELLWANGER
MACON, GA
NPI
1184292070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN122302)
Enumeration Date
2021-06-16
Last Update Date
2021-10-12
Business Address
JOSEPH DONALD ELLWANGER DMD
2440 INGLESIDE AVE
MACON, GA 31204-2088
Phone number: 404-219-4857
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Mailing Address
JOSEPH DONALD ELLWANGER DMD
2440 INGLESIDE AVE
MACON, GA 31204-2088
Phone number: 404-219-4857
Copy
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