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RAYMOND GYSELINCK JR DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1730392648
Individual Registrant: RAYMOND GYSELINCK JR DDS
Gender: M
Sole Proprietor
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
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
Tel: 706-746-0216 Fax: 706-746-3859
Registration Information:
NPI: 1730392648
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | GA | 8864 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
