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Individual

DR. CRAIG MITCHELL INGLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1290 ATHENS ST, HALL COUNTY HEALTH DEPARTMENT, GAINESVILLE, GA 30507-7000
(770) 531-5609
Mailing address
283 WOODBRIER, SAUTEE NACOOCHEE, GA 30571-2056
(706) 878-1934

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008878
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00924679A
GA
05
00924679B
GA
05
00924679C
GA
01
DN008878
DENTIST LICENSE
GA
Enumeration date
08/15/2005
Last updated
11/22/2010
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