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D THAD BAIRD D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1659597359

Individual Registrant:
 D THAD BAIRD D.M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4595 TOWNE LAKE PKWY BLDG 200, STE 110 WOODSTOCK, GA 30189-5514 US
Tel: 770-517-0444  Fax: 770-517-0493

Contact information for business:
4595 TOWNE LAKE PKWY BLDG 200, STE 110 WOODSTOCK, GA 30189-5514 US
Tel: 770-517-0444  Fax: 770-517-0493

Registration Information:
NPI: 1659597359
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GA11244

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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