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Individual

DR. JOSEPH G SUMRALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
100 S HOUSTON RD, WARNER ROBINS, GA 31088-3904
(478) 929-1661
(478) 929-1219
Mailing address
100 S HOUSTON RD, WARNER ROBINS, GA 31088-3904
(478) 929-1661
(478) 929-1219

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014289
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396838553
HOUSTON DENTAL PROFESSIONALS - PRACTICE NPI
GA
Enumeration date
06/13/2011
Last updated
06/28/2011
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