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1245300763
FREDERCIK CHIABING CHUO
ALPHARETTA, GA
NPI
1245300763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 013110)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- FREDERCIK CHIABING CHUO
401 S MAIN ST STE B5
ALPHARETTA, GA 30004-1974
Phone number: 770-663-8717
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Mailing Address
-- FREDERCIK CHIABING CHUO
217 MAIN ST
DESTIN, FL 32541-2503
Phone number: 850-837-7448
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