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1578766317
DEQUAN BIVINS
LAWRENCEVILLE, GA
NPI
1578766317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA dn013547)
Enumeration Date
2007-06-08
Last Update Date
2008-10-07
Business Address
-- DEQUAN BIVINS
1455 PLEASANT HILL RD SUITE 807-A
LAWRENCEVILLE, GA 30044-3045
Phone number: 770-925-9045
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Mailing Address
-- DEQUAN BIVINS
1455 PLEASANT HILL RD SUITE 807-A
LAWRENCEVILLE, GA 30044-3045
Phone number: 770-925-9045
Copy
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