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Individual

DR. WILLIAM E REAL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
403 CANTERBURY DRIVE, WRENS, GA 30833-1185
(706) 547-3148
(706) 547-3368
Mailing address
403 CANTERBURY DRIVE, WRENS, GA 30833
(706) 547-3148
(706) 547-3368

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9830
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00319206A
GA
Enumeration date
05/08/2006
Last updated
03/31/2016
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