DEXTER P INNISS

CONYERS, GA
NPI1629146469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: GA  DN012791)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
DR. DEXTER P INNISS D.M.D
1360 DOGWOOD DR SE SUITE 202B
CONYERS, GA 30013-5075
Phone number: 770-760-7566
Mailing Address
DR. DEXTER P INNISS D.M.D
2131 JULIEN OVERLOOK
CONYERS, GA 30012
Phone number: 770-922-2714
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