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Organization

ULYSSES L. MARABLE III, DMD, LLC

Active
Other names
Fantastic Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ULYSSES L MARABLE III DMD (OWNER/MEMBER)
(478) 825-3000
Entity
Organization

Contact information

Practice address
1030 PEACH PARKWAY, STE 9, FORT VALLEY, GA 31030
(478) 825-3000
(478) 825-3099
Mailing address
1030 PEACH PARKWAY, STE 9, FORT VALLEY, GA 31030
(478) 825-3000
(478) 825-3099

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13223
GA

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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