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Individual

DR. GARY WAYNE PARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BSA, DDS

Contact information

Practice address
875 N MAIN ST, SUITE 359, ALPHARETTA, GA 30004-8373
(770) 475-4434
(770) 475-7756
Mailing address
2280 HOPEWELL PLANTATION DRIVE, ALPHARETTA, GA 30004
(678) 566-3094
(678) 990-4072

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10279
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100362
GA
05
9179575
GA
Enumeration date
10/17/2006
Last updated
01/26/2012
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