JACOB WILEY-BLUE HOLTZCLAW

ALBANY, GA
NPI1275150658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: GA  DN016080)
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
JACOB WILEY-BLUE HOLTZCLAW DMD
1725 DAWSON RD
ALBANY, GA 31707-3362
Phone number: 229-883-7891
Mailing Address
JACOB WILEY-BLUE HOLTZCLAW DMD
315 PHILEMA RD APT 15
ALBANY, GA 31701-1245
Phone number: 770-815-0655
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