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Individual

DR. DAVID M. SELF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7539 ROSWELL RD, SANDY SPRINGS, GA 30350-4838
(909) 709-9989
Mailing address
7539 ROSWELL RD, SANDY SPRINGS, GA 30350-4838
(909) 709-9989

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7635
AZ
126800000X
Dental Assistant
Primary
DN013983
GA

Other

Enumeration date
08/11/2008
Last updated
11/02/2010
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