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Individual

JUSTIN RAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2562 E ELM ST, WRIGHTSVILLE, GA 31096-2002
(478) 864-7127
(478) 986-3253
Mailing address
PO BOX 436, WRIGHTSVILLE, GA 31096-0436
(478) 864-7127
(478) 986-3253

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015165
GA

Other

Enumeration date
06/07/2016
Last updated
06/07/2016
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