Individual
DAVID MOTOBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 PAVILION PKWY, FAYETTEVILLE, GA 30214-7732
(770) 953-6975
Mailing address
117 PAVILION PKWY STE 15C, FAYETTEVILLE, GA 30214-7732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122469
GA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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