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Individual

DR. SAMER MUFID OTHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4705 NORTHSIDE DR, SUITE 100, MACON, GA 31210-1698
(478) 207-6939
Mailing address
4705 NORTHSIDE DR, SUITE 100, MACON, GA 31210-1698
(478) 207-6939

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014686
GA

Other

Enumeration date
07/25/2012
Last updated
08/28/2014
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