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1558550236
WILLIAM CLAY LISENBY
MACON, GA
NPI
1558550236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA 01073)
Enumeration Date
2007-10-18
Last Update Date
2007-10-18
Business Address
Dr. WILLIAM CLAY LISENBY D.D.S.,P.C.
6336 PEAKE RD
MACON, GA 31210-3960
Phone number: 478-330-5130
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Mailing Address
Dr. WILLIAM CLAY LISENBY D.D.S.,P.C.
6336 PEAKE RD
MACON, GA 31210-3960
Phone number: 478-330-5130
Copy
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