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1811957376
STEVEN LAMAR WILSON
MARTINEZ, GA
NPI
1811957376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 8466)
Enumeration Date
2006-03-27
Last Update Date
2020-03-02
Business Address
STEVEN LAMAR WILSON D.M.D.
4059 COLUMBIA RD
MARTINEZ, GA 30907-2221
Phone number: 706-863-9445
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Mailing Address
STEVEN LAMAR WILSON D.M.D.
4059 COLUMBIA RD
MARTINEZ, GA 30907-2221
Phone number: 706-863-9445
Copy
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