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1194563262
CHANDLER GROVE
WATKINSVILLE, GA
NPI
1194563262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN123476)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
CHANDLER GROVE
1360 CADUCEUS WAY
WATKINSVILLE, GA 30677-7300
Phone number: 706-543-3629
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Mailing Address
CHANDLER GROVE
2131 STRASBURG CT
DUNWOODY, GA 30338-5218
Phone number: 404-637-6723
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