Individual
DR. TED OLEY OELLERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2357 HWY 88, HEPHZIBAH, GA 30815
(706) 592-9551
(706) 592-9556
Mailing address
PO BOX 263, 2357 GEORGIA HIGHWAY 88, HEPHZIBAH, GA 30815
(706) 592-9551
(706) 592-9556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010818
GA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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