Individual
DR. DAVID ALLEN VICKERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
908 MADISON AVE N, DOUGLAS, GA 31533-3126
(912) 384-4902
(912) 384-8820
Mailing address
908 MADISON AVE N, DOUGLAS, GA 31533-3126
(912) 384-4902
(912) 384-8820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010714
GA
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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