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Georgia: DAVID A DOGGETT BORDEAUX DDS LLC ATLANTA GA 30308 404-249-1716

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DAVID A DOGGETT BORDEAUX DDS LLC

Dental Providers Dentist

Provider NPI: 1134308216

Organization Information:
Organization Name:  DAVID A DOGGETT BORDEAUX DDS LLC
Organization is not Subpart
Authorized Official:  DAVID H DOGGETT BORDEAUX  OWNER  404-249-1716

Practice Location:
855 JUNIPER STREET NE  ATLANTA, GA 30308 US
Tel: 404-249-1716  Fax: 404-249-8057

Business Mailing Address:
855 JUNIPER STREET NE  ATLANTA, GA 30308 US
Tel: 404-249-1716  Fax: 404-249-8057

NPI Information:
NPI: 1134308216
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
GA9225

Other Provider Identifiers:

IssuerNumberStateType

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