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Individual

DR. THADDEUS HARVEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
331 ARCADO RD NW, LILBURN, GA 30047-2814
(770) 923-1814
Mailing address
331 ARCADO RD NW, LILBURN, GA 30047-2814
(770) 923-1814

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013689
GA

Other

Enumeration date
07/08/2008
Last updated
07/08/2008
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