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1417106873
NORTHSIDE FAMILY DENTISTRY
MACON, GA
NPI
1417106873
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Entity Type
Organization
Authorized Contact
CLINTON M WATSON
General Dentistry
478-475-1976
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2008-09-10
Last Update Date
2008-09-10
Business Address
NORTHSIDE FAMILY DENTISTRY
3298 NORTHSIDE DR
MACON, GA 31210-2553
Phone number: 478-475-1976
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Mailing Address
NORTHSIDE FAMILY DENTISTRY
3298 NORTHSIDE DR
MACON, GA 31210-2553
Phone number: 478-475-1976
Copy
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