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Individual

MR. CLAUDE TIMOTHY DUBOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
348 OAK ST, ATHENS, GA 30601
(706) 543-6527
Mailing address
348 OAK ST, ATHENS, GA 30601
(706) 543-6527
(706) 369-1090

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10444
CA

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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