Individual
A TYLER BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4595 TOWNE LAKE PKWY, BLDG 200, STE 110, WOODSTOCK, GA 30189-5514
(770) 517-0444
(770) 517-0493
Mailing address
4595 TOWNE LAKE PKWY, BLDG 200, STE 110, WOODSTOCK, GA 30189-5514
(770) 517-0444
(770) 517-0493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12365
GA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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