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1902005655
IAN BRADFORD LIPHAM
CARROLLTON, GA
NPI
1902005655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA 11286)
Enumeration Date
2007-07-13
Last Update Date
2007-07-13
Business Address
Dr. IAN BRADFORD LIPHAM D.M.D.
201 WEDGEWOOD DR
CARROLLTON, GA 30117-4337
Phone number: 770-834-4847
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Mailing Address
Dr. IAN BRADFORD LIPHAM D.M.D.
201 WEDGEWOOD DR
CARROLLTON, GA 30117-4337
Phone number: 770-834-4847
Copy
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