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1407986482
THEODORE ROBERT HARLESS
AUSTELL, GA
NPI
1407986482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA DN007314)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Dr. THEODORE ROBERT HARLESS D.D.S.. MS.
4760 AUSTELL RD STE 5
AUSTELL, GA 30106-2007
Phone number: 770-948-0300
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Mailing Address
Dr. THEODORE ROBERT HARLESS D.D.S.. MS.
4760 AUSTELL RD STE 5
AUSTELL, GA 30106-2007
Phone number: 770-948-0300
Copy
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