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Individual

DR. STEPHIN JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3687 BUFORD DR # 300, BUFORD, GA 30519-5585
(470) 317-2078
Mailing address
3403 IVY FARM CT, BUFORD, GA 30519-8806
(770) 597-3982

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122887
GA

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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