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DR. BRUCE RAYMOND BILLINGER DDS MS

Periodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1336258284

Individual Registrant:
DR. BRUCE RAYMOND BILLINGER DDS MS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2120 ROCKBRIDGE RD  STONE MOUNTAIN, GA 30087 US
Tel: 770-413-4213  Fax: 770-413-4233

Contact information for business:
2120 ROCKBRIDGE RD  STONE MOUNTAIN, GA 30087 US
Tel: 770-413-4213  Fax: 770-413-4233

Registration Information:
NPI: 1336258284
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
GA11173

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00631221BGA05




HEALTH CARE JOBS GA - Page 1



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