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1255992517
MAYA BASU
CUMMING, GA
NPI
1255992517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN015903)
Enumeration Date
2019-06-26
Last Update Date
2022-08-02
Business Address
MAYA BASU
5310 MATT HWY STE 305
CUMMING, GA 30028-8627
Phone number: 470-533-1880
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Mailing Address
MAYA BASU
5310 MATT HWY STE 305
CUMMING, GA 30028-8627
Phone number: 470-533-1880
Copy
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