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1730568296
BENNIE CLEAVELAND EVANS
GRIFFIN, GA
NPI
1730568296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 8495)
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
-- BENNIE CLEAVELAND EVANS DDS
210 ADDAVALE ST
GRIFFIN, GA 30224-4217
Phone number: 770-229-1490
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Mailing Address
-- BENNIE CLEAVELAND EVANS DDS
210 ADDAVALE ST
GRIFFIN, GA 30224-4217
Phone number: 770-229-1490
Copy
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