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1497001630
SAMER MUFID OTHMAN
MACON, GA
NPI
1497001630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN014686)
Enumeration Date
2012-07-25
Last Update Date
2014-08-28
Business Address
Dr. SAMER MUFID OTHMAN D.D.S.
4705 NORTHSIDE DR SUITE 100
MACON, GA 31210-1698
Phone number: 478-207-6939
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Mailing Address
Dr. SAMER MUFID OTHMAN D.D.S.
4705 NORTHSIDE DR SUITE 100
MACON, GA 31210-1698
Phone number: 478-207-6939
Copy
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