Individual
RAYMOND GYSELINCK JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
253 CAROLINA ST, DILLARD, GA 30537-2200
(706) 746-0216
(706) 746-3859
Mailing address
253 CAROLINA ST, DILLARD, GA 30537-2200
(706) 746-0216
(706) 746-3859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8864
GA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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