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1396397386
CORNELIUS HOMER DANIEL
CONYERS, GA
NPI
1396397386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN015921)
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
Dr. CORNELIUS HOMER DANIEL DMD
2239 HIGHWAY 20 SE STE H
CONYERS, GA 30013-2087
Phone number: 770-921-3565
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Mailing Address
Dr. CORNELIUS HOMER DANIEL DMD
3202 HALEYS WAY SE
CONYERS, GA 30013-6445
Phone number: 404-216-0023
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