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Individual

DR. CHARLES EDWARD SMAHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
151 PIERCE AVE, MACON, GA 31204-2821
(478) 743-9331
Mailing address
151 PIERCE AVE, MACON, GA 31204-2821

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012749
GA

Other

Enumeration date
05/27/2008
Last updated
05/27/2008
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