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Individual

ADAM CRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
697 MEDICAL PARK LN, GAINESVILLE, GA 30501-2084
(770) 718-1800
Mailing address
338 ESTATES DR, CAMDEN WYOMING, DE 19934-4616
(302) 650-8729

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN123295
GA
1223P0221X
Pediatric Dentistry
DN23395
FL

Other

Enumeration date
04/19/2018
Last updated
01/13/2024
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