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1326279274
ADAM RANDAL LINCICUM
FORT GORDON, GA
NPI
1326279274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: FL DN18736)
Enumeration Date
2009-07-27
Last Update Date
2023-03-02
Business Address
Dr. ADAM RANDAL LINCICUM DMD
228 E HOSPITAL RD BLDG 320
FORT GORDON, GA 30905-6011
Phone number: 706-787-6927
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Mailing Address
Dr. ADAM RANDAL LINCICUM DMD
228 E HOSPITAL RD BLDG 320
FORT GORDON, GA 30905-6011
Phone number: 706-787-6927
Copy
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