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MRS. EMELI ELEYN BURLISON RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1518516228

Individual Registrant:
MRS. EMELI ELEYN BURLISON RDH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
428 SENTRY OAK DR  CENTERVILLE, GA 31028-1200 US
Tel: 478-365-0184  Fax: --

Contact information for business:
428 SENTRY OAK DR  CENTERVILLE, GA 31028-1200 US
Tel: 478-365-0184  Fax: --

Registration Information:
NPI: 1518516228
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
GADH043518

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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