DEQUAN BIVINS

LAWRENCEVILLE, GA
NPI1578766317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  dn013547)
Enumeration Date2007-06-08
Last Update Date2008-10-07
Business Address
-- DEQUAN BIVINS
1455 PLEASANT HILL RD SUITE 807-A
LAWRENCEVILLE, GA 30044-3045
Phone number: 770-925-9045
Mailing Address
-- DEQUAN BIVINS
1455 PLEASANT HILL RD SUITE 807-A
LAWRENCEVILLE, GA 30044-3045
Phone number: 770-925-9045
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