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1629146469
DEXTER P INNISS
CONYERS, GA
NPI
1629146469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA dn012791)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Dr. DEXTER P INNISS d.m.d
1360 DOGWOOD DR SE SUITE 202B
CONYERS, GA 30013-5075
Phone number: 770-760-7566
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Mailing Address
Dr. DEXTER P INNISS d.m.d
2131 JULIEN OVERLOOK
CONYERS, GA 30012
Phone number: 770-922-2714
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