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1396825667
LAKESIDE FAMILY DENTISTRY AND TMJ, PC
COLUMBUS, GA
NPI
1396825667
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Entity Type
Organization
Authorized Contact
PHILLIP SHELBY TULLY
President
706-323-6491
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2006-10-17
Last Update Date
2024-09-11
Business Address
LAKESIDE FAMILY DENTISTRY AND TMJ, PC
7270 N LAKE DR STE 100
COLUMBUS, GA 31909-2764
Phone number: 706-323-6491
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Mailing Address
LAKESIDE FAMILY DENTISTRY AND TMJ, PC
7270 N LAKE DR STE 100
COLUMBUS, GA 31909-2764
Phone number: 706-323-6491
Copy
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