Individual
DR. JERRY L. RACIOPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2992 MAIN ST W, SUITE A100, SNELLVILLE, GA 30078-5764
(770) 972-1039
(770) 979-3903
Mailing address
2992 MAIN ST W, SUITE A100, SNELLVILLE, GA 30078-5764
(770) 972-1039
(770) 979-3903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010822
GA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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