Individual
DR. OLEXA PODEBRYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2120 W SPRING ST STE 1100, MONROE, GA 30655-3900
(770) 266-7188
Mailing address
2120 W SPRING ST STE 1100, MONROE, GA 30655-3900
(770) 266-7188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014749
GA
1223G0001X
General Practice Dentistry
50055056
NY
Other
Enumeration date
08/10/2010
Last updated
02/02/2016
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