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1720111644
DENTAL ONE ASSOCIATES (FAYETTEVILLE) LLC
FAYETTEVILLE, GA
NPI
1720111644
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Entity Type
Organization
Authorized Contact
MIKE COLE
Insurance Director
727-726-1611
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2007-03-13
Last Update Date
2020-08-22
Business Address
DENTAL ONE ASSOCIATES (FAYETTEVILLE) LLC
410 N JEFF DAVIS DR
FAYETTEVILLE, GA 30214-1630
Phone number: 770-460-9702
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Mailing Address
DENTAL ONE ASSOCIATES (FAYETTEVILLE) LLC
410 N JEFF DAVIS DR
FAYETTEVILLE, GA 30214-1630
Phone number:
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