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RAYMOND GYSELINCK JR DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1730392648

Individual Registrant:
 RAYMOND  GYSELINCK JR DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
253 CAROLINA ST  DILLARD, GA 30537-2200 US
Tel: 706-746-0216  Fax: 706-746-3859

Contact information for business:
253 CAROLINA ST  DILLARD, GA 30537-2200 US
Tel: 706-746-0216  Fax: 706-746-3859

Registration Information:
NPI: 1730392648
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GA8864

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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