Individual
DR. TANYA LYNN SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1210 GEORE C. WILSON DR., AUGUSTA, GA 30909-4501
(706) 855-8818
(706) 855-0534
Mailing address
1210 GEORE C. WILSON DR., AUGUSTA, GA 30909-4501
(706) 855-8818
(706) 855-0534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8118
SC
122300000X
Dentist
Primary
DN014451
GA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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