Individual
DR. DEBBIE L DISMUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 OCILLA RD, DOUGLAS, GA 31533-2209
(912) 384-2277
(912) 384-7543
Mailing address
PO BOX 1266, DOUGLAS, GA 31534-1266
(912) 384-2277
(912) 384-7543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010213
GA
Other
Enumeration date
08/20/2006
Last updated
03/27/2008
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