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Individual

DAWN M ROSALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
609 BEAVER RUIN RD NW STE A, LILBURN, GA 30047-3401
(770) 925-3300
(770) 925-3302
Mailing address
403 PUCKETT TER SW, LILBURN, GA 30047-4053
(770) 931-1924
(678) 990-9493

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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