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Individual
DR. ERIC D FERRARA
Active
Individual
DR. ERIC D FERRARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DN013416
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN013416
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN013416
GA
261QD0000X
Dental Clinic/Center
DN013416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178058507A
—
GA
05
—
178058507B
—
GA
Enumeration date
06/17/2005
Last updated
07/01/2011
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