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1205598315
BAICBCCKMFA LLC
SAVANNAH, GA
NPI
1205598315
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Entity Type
Organization
Authorized Contact
WILLIAM HOWARD TROUT
Owner Dentist
912-355-1512
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
BAICBCCKMFA LLC
5209 PAULSEN STREET
SAVANNAH, GA 31405-4804
Phone number: 912-355-1512
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Mailing Address
BAICBCCKMFA LLC
P.O. BOX 401
SAVANNAH, GA 31402
Phone number: 912-355-1512
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