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Individual

REGINA MAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
228 E HOSPITAL RD, FORT GORDON DENTAC, FORT GORDON, GA 30905-6011
(706) 787-5102
Mailing address
228 E HOSPITAL RD, FORT GORDON DENTAC, FORT GORDON, GA 30905-6011
(706) 787-5102

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60245431
WA

Other

Enumeration date
10/06/2011
Last updated
04/16/2015
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