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Individual

DR. DAVID R. BOAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
403 HIGHWAY 74 N, STE. A, PEACHTREE CITY, GA 30269-3963
(770) 631-3380
(770) 631-3383
Mailing address
403 HIGHWAY 74 N, STE. A, PEACHTREE CITY, GA 30269-3963
(770) 631-3380
(770) 631-3383

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011830
GA

Other

Enumeration date
07/29/2006
Last updated
07/08/2007
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