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1740964329
ZACK KALIB MAHAN
FORT GORDON, GA
NPI
1740964329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 13423741)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
ZACK KALIB MAHAN DDS
320 E HOSPITAL RD
FORT GORDON, GA 30905
Phone number: 706-787-5102
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Mailing Address
ZACK KALIB MAHAN DDS
854 GOODALE DR.
AUGUSTA, GA 30909
Phone number: 619-962-7329
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