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1346238706
SENGSOURIYA ANANTHASANE
CUMMING, GA
NPI
1346238706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA DN012307)
Enumeration Date
2005-10-10
Last Update Date
2007-07-08
Business Address
Dr. SENGSOURIYA ANANTHASANE DMD
5870 CHARLOTTE LANE SUITE 200
CUMMING, GA 30040
Phone number: 770-888-8295
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Mailing Address
Dr. SENGSOURIYA ANANTHASANE DMD
5870 CHARLOTTE LANE SUITE 200
CUMMING, GA 30040
Phone number: 770-888-8295
Copy
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