Individual
DAVID VAUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3666 HIGHWAY 5 STE 102, DOUGLASVILLE, GA 30135-6940
(770) 942-2852
(770) 942-3502
Mailing address
3666 HIGHWAY 5 STE 102, DOUGLASVILLE, GA 30135-6940
(770) 942-2852
(770) 942-3502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1457010
GA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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