Individual
DR. CHARLES HULBERT DODGE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9570 NESBIT FERRY RD, SUITE 103, ALPHARETTA, GA 30022-6859
(770) 992-0502
(770) 992-6542
Mailing address
9570 NESBIT FERRY RD, SUITE 103, ALPHARETTA, GA 30022-6859
(770) 992-0502
(404) 592-4636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010672
GA
Other
Enumeration date
10/17/2006
Last updated
10/18/2010
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