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Organization

JAY C. FISHER DMD PC

Active
Other names
Neighborhood Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LUCINDA S WIRT (OFFICE MANAGER)
(404) 288-2600
Entity
Organization

Contact information

Practice address
1336 COLUMBIA DR STE B, DECATUR, GA 30032-2851
(404) 288-2600
(404) 288-9016
Mailing address
1336 COLUMBIA DR STE B, DECATUR, GA 30032-2851
(404) 288-2600
(404) 288-9016

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010766
GA

Other

Enumeration date
03/31/2008
Last updated
03/31/2008
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