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Organization
SPECIALITY DENTAL SERVICES OF GEORGIA
Active
Organization
SPECIALITY DENTAL SERVICES OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD B. LIPSOKY D.M.D. (OWNER)
(866) 275-2767
Entity
Organization
Contact information
Practice address
2758 LOST LAKES DR., POWDER SPRINGS, GA 30127-0000
(866) 275-2767
(678) 324-4413
Mailing address
PO BOX 109, POWDER SPRINGS, GA 30127-0000
(866) 275-2767
(678) 324-4413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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