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Organization

DONALD H. BOHNE, DDS, PA

Active
Other names
Donald H. Bohne, DDS, PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD H BOHNE DDS (OWNER)
(770) 939-6600
Entity
Organization

Contact information

Practice address
4958 LAVISTA RD, TUCKER, GA 30084-4403
(770) 939-6600
(770) 939-1287
Mailing address
4958 LAVISTA RD, TUCKER, GA 30084-4403
(770) 939-6600
(770) 939-1287

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629125869
NPPES
GA
Enumeration date
12/07/2020
Last updated
12/07/2020
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