Individual
TIARA S MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 405-6259
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122311
GA
Other
Enumeration date
04/30/2020
Last updated
11/29/2022
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