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Individual

ANDREA S TRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
35 ROCKRIDGE DR, NEWNAN, GA 30265-6042
(706) 981-0004
(706) 504-9404
Mailing address
3619 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 981-0004
(706) 504-9404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013193
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
743841324A
GA
05
743841324N
GA
Enumeration date
11/09/2006
Last updated
05/01/2017
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