Individual
RYAN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1285 VIRGIL LANGFORD RD, WATKINSVILLE, GA 30677-7209
(706) 521-0352
Mailing address
1748 TURTLE POND DR, WATKINSVILLE, GA 30677-4178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN016083
GA
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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