Individual
TONY MONROE DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1113 MORNINGSIDE DR, PERRY, GA 31069-2905
(404) 295-8846
Mailing address
PO BOX 1290, PERRY, GA 31069-1290
(404) 295-8845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7299
GA
Other
Enumeration date
01/06/2009
Last updated
01/07/2009
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