Individual
DR. CARLOS STANFORD WILBANKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1010 PRINCE AVE, ATHENS, GA 30606
(706) 546-7362
Mailing address
1010 PRINCE AVE, ATHENS, GA 30606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7270
GA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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