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1427150622
ELISABETH BAERTLEIN
WOODSTOCK, GA
NPI
1427150622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN012941)
Enumeration Date
2006-09-01
Last Update Date
2010-09-02
Business Address
-- ELISABETH BAERTLEIN
4463 TOWNE LAKE PKWY SUITE 200
WOODSTOCK, GA 30189-8229
Phone number: 678-445-1105
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Mailing Address
-- ELISABETH BAERTLEIN
2502 N ROCKY POINT DR SUITE 1000-CREDENTIALING
TAMPA, FL 33607-1421
Phone number:
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