| David L. Vautin, Dmd, Llc | |
|
119 E Center St Carrollton GA 30117-3302 | |
| (770) 832-1311 | |
| (770) 836-0179 |
| Full Name | David L. Vautin, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 119 E Center St, Carrollton, Georgia |
| Authorized Official Name and Position | Lori Spence (PRACTICE MANAGER) |
| Authorized Official Contact | 7708321311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L. Vautin, Dmd, Llc 119 E Center St Carrollton GA 30117-3302 Ph: (770) 832-1311 | David L. Vautin, Dmd, Llc 119 E Center St Carrollton GA 30117-3302 Ph: (770) 832-1311 |
| NPI Number | 1932536661 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932536661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN010713 (Georgia) | Primary |
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