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Individual

DR. TONY U. LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
102 NORTH CENTRAL AVE, ADAIRSVILLE, GA 30103
(770) 773-7311
Mailing address
102 NORTH CENTRAL AVE, P. O. BOX 433, ADAIRSVILLE, GA 30103
(770) 773-7311

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12054
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00887719A
GA
Enumeration date
04/12/2007
Last updated
02/15/2008
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