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Organization
DONALD H. BOHNE, DDS, PA
Active
Organization
DONALD H. BOHNE, DDS, PA
Active
Other names
Donald H. Bohne, DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD H BOHNE DDS (OWNER)
(770) 939-6600
Entity
Organization
Contact information
Practice address
4958 LAVISTA RD, TUCKER, GA 30084-4403
(770) 939-6600
(770) 939-1287
Mailing address
4958 LAVISTA RD, TUCKER, GA 30084-4403
(770) 939-6600
(770) 939-1287
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629125869
NPPES
GA
Enumeration date
12/07/2020
Last updated
12/07/2020
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