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1700234168
BRIAN A WOMBLE
MCDONOUGH, GA
NPI
1700234168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA 9213)
Enumeration Date
2016-05-26
Last Update Date
2016-05-26
Business Address
-- BRIAN A WOMBLE DMD
420 MCDONOUGH PKWY
MCDONOUGH, GA 30253-8946
Phone number: 770-914-2808
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Mailing Address
-- BRIAN A WOMBLE DMD
235 EAGLES LANDING WAY
MCDONOUGH, GA 30253-4221
Phone number: 770-914-2808
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