Individual
DR. BRANDI ALLISON OWEN WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 HODGES ST, CORNELIA, GA 30531-3295
(706) 894-1919
Mailing address
PO BOX 459, CORNELIA, GA 30531-0459
(706) 894-1919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014092
GA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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