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1184830614
DOUGLAS DICKEY
CANTON, GA
NPI
1184830614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 10212)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS DICKEY
8701 KNOX BRIDGE HWY
CANTON, GA 30114
Phone number: 770-479-3202
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Mailing Address
Dr. DOUGLAS DICKEY
PO BOX 986
CANTON, GA 30169-0986
Phone number: 770-479-3202
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