Individual
DR. LORETTO MADELEINE GRIER-CUDJOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1625 JEFFERSONVILLE RD, MACON, GA 31217-4342
(478) 719-5311
Mailing address
1625 JEFFERSONVILLE RD, MACON, GA 31217-4342
(478) 719-5311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010786
GA
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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