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1679644363
IVAN N GOLDNER
BRUNSWICK, GA
NPI
1679644363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 7567)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Dr. IVAN N GOLDNER D.M.D.
159 ALTAMA CONNECTOR
BRUNSWICK, GA 31525-1853
Phone number: 912-264-8408
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Mailing Address
Dr. IVAN N GOLDNER D.M.D.
79 W POINT DR
ST SIMONS ISLAND, GA 31522-5814
Phone number: 912-634-9029
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