Individual
DR. WILBURN TAYLOR DOMINY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5000 SHAKERAG HL, PEACHTREE CITY, GA 30269-3367
(770) 631-0044
(770) 631-9434
Mailing address
5000 SHAKERAG HL, PEACHTREE CITY, GA 30269-3367
(770) 631-0044
(770) 631-9434
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
010888
GA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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