Individual
DR. STEVEN DWIGHT SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2301 LULLWATER RD, ALBANY, GA 31707-3180
(229) 439-8896
(229) 435-4773
Mailing address
2301 LULLWATER RD, ALBANY, GA 31707-3180
(229) 439-8896
(229) 435-4773
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN009288
GA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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