Individual
DR. DALE LEONARD STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5771 VICKERY ST, LAVONIA, GA 30553
(706) 356-8212
(706) 356-8083
Mailing address
5771 VICKERY ST, LAVONIA, GA 30553
(706) 356-8212
(706) 356-8083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008810
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000137849A
—
GA
Enumeration date
01/26/2007
Last updated
07/08/2007
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