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Individual

DR. DALER E TARRAZZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2371
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2371
(706) 721-6778

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901019069
MI
122300000X
Dentist
2952000489
MI
122300000X
Dentist
DNF000446
GA
1223G0001X
General Practice Dentistry
2901019069
MI
1223G0001X
General Practice Dentistry
2952000489
MI
1223P0700X
Prosthodontics
Primary
DNF000446
GA

Other

Enumeration date
10/15/2007
Last updated
02/19/2026
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