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1306930607
KEVIN SEAN SHORT
CUMMING, GA
NPI
1306930607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: GA DN011242)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
DR. KEVIN SEAN SHORT DDS
1200 BALD RIDGE MARINA RD SUITE 200
CUMMING, GA 30041-8494
Phone number: 770-781-8650
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Mailing Address
DR. KEVIN SEAN SHORT DDS
PO BOX 599
CUMMING, GA 30028-0599
Phone number: 770-781-8650
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