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1356466726
DOUG PORTER BAXTER
WINDER, GA
NPI
1356466726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 11127)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Dr. DOUG PORTER BAXTER DMD
152 N BROAD ST
WINDER, GA 30680-8200
Phone number: 770-867-4175
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Mailing Address
Dr. DOUG PORTER BAXTER DMD
152 N BROAD ST
WINDER, GA 30680-8200
Phone number: 770-867-4175
Copy
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