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1770636011
KIRK A SUDEALL
MARIETTA, GA
NPI
1770636011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 011931)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Dr. KIRK A SUDEALL
140 MARBLE MILL RD NW STE B
MARIETTA, GA 30060-1000
Phone number: 770-590-9848
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Mailing Address
Dr. KIRK A SUDEALL
4460 RIDERS RIDGE TRL
SNELLVILLE, GA 30039-8580
Phone number: 770-978-9833
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