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1346558038
DANA LEEANN WORTMAN
POWDER SPRINGS, GA
NPI
1346558038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
-- DANA LEEANN WORTMAN DA
4150 MACLAND RD STE 205
POWDER SPRINGS, GA 30127-8212
Phone number: 770-222-1344
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Mailing Address
-- DANA LEEANN WORTMAN DA
2749 ELKHART CIR SW
MARIETTA, GA 30064-4319
Phone number: 770-882-6594
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