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1487744397
SHELTON KEITH BURLISON
DULUTH, GA
NPI
1487744397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN011408)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Dr. SHELTON KEITH BURLISON DMD
2730 PEACHTREE INDUSTRIAL BLVD SUITE 202
DULUTH, GA 30097-8626
Phone number: 678-473-4756
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Mailing Address
Dr. SHELTON KEITH BURLISON DMD
2730 PEACHTREE INDUSTRIAL BLVD SUITE 202
DULUTH, GA 30097-8626
Phone number: 678-473-4756
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