Individual
YASUKO MUSASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
94 MC CRARY ROAD, FORTSON, GA 31803
(706) 987-8216
(706) 987-8220
Mailing address
1315 DELAUNEY AVE, SUITE 201, COLUMBUS, GA 31901-2367
(706) 322-9599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN013386
GA LIC
GA
Enumeration date
05/11/2007
Last updated
02/20/2012
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