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1720169451
ELLISON SMITH
ATLANTA, GA
NPI
1720169451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 11169)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Dr. ELLISON SMITH DDS
75 MARIETTA ST NW SUITE 100
ATLANTA, GA 30303-2883
Phone number: 404-577-0868
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Mailing Address
Dr. ELLISON SMITH DDS
75 MARIETTA ST NW SUITE 100
ATLANTA, GA 30303-2883
Phone number: 404-577-0868
Copy
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