Individual
TODD WILSON FRUIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
400 JOHNNY MERCER BLVD STE A, SAVANNAH, GA 31410-2166
(912) 897-5788
(912) 897-5789
Mailing address
400 JOHNNY MERCER BLVD STE A, SAVANNAH, GA 31410-2166
(912) 897-5788
(912) 897-5789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10543
GA
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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