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Individual

DR. DARIOUS N NWADIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2255 E WEST CONNECTOR, AUSTELL, GA 30106
(770) 319-8110
Mailing address
2255 E WEST CONNECTOR, AUSTELL, GA 30106-8187
(770) 319-8110
(770) 319-7446

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
012056
GA
1223G0001X
General Practice Dentistry
Primary
DN012056
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00912942B
GA
Enumeration date
10/04/2006
Last updated
06/07/2018
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