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1831745587
BRANDON ADAM VILLAR
SMYRNA, GA
NPI
1831745587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 104277)
Enumeration Date
2019-08-16
Last Update Date
2023-01-16
Business Address
BRANDON ADAM VILLAR
2874 KING ST SE
SMYRNA, GA 30080-3593
Phone number: 770-435-7358
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Mailing Address
BRANDON ADAM VILLAR
2874 KING ST SE
SMYRNA, GA 30080-3593
Phone number: 770-435-7358
Copy
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