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1821141870
GREGG R CODELLI
ATLANTA, GA
NPI
1821141870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: GA 10306)
Enumeration Date
2007-01-20
Last Update Date
2007-07-08
Business Address
Dr. GREGG R CODELLI D.D.S.
1707A MOUNT VERNON RD
ATLANTA, GA 30338-4207
Phone number: 770-668-0604
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Mailing Address
Dr. GREGG R CODELLI D.D.S.
3941 GLENNCREST CT NE
ATLANTA, GA 30319-1893
Phone number: 770-668-0604
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