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Organization

DENTURES AND FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY LEE BLOUNT DDS (OWNER)
(678) 342-9933
Entity
Organization

Contact information

Practice address
5156 COOK ST NE, COVINGTON, GA 30014-2630
(678) 342-9933
Mailing address
5156 COOK ST NE, COVINGTON, GA 30014-2630
(678) 342-9933

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO11497
GA

Other

Enumeration date
08/24/2016
Last updated
08/31/2016
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