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Individual

DR. DOUGLAS GARLAND HISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MS, PC

Contact information

Practice address
285 ELM ST, SUITE 101, CUMMING, GA 30040-8233
(770) 888-7798
(770) 888-1474
Mailing address
285 ELM ST, SUITE 101, CUMMING, GA 30040-8233
(770) 888-7798
(770) 888-1474

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011988
GA

Other

Enumeration date
08/30/2007
Last updated
08/30/2007
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