Search › Georgia › 1223S0112X
Boris Sidow, DDS
NPI 1588674733 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3634 Wheeler Road
Augusta, GA 30909 - Phone
- (706) 860-8228
- Fax
- (706) 860-7222
- Organisation at this address
- Drs. Peacock & Rafoth, P.C.
Oral Surgery Of West Augusta Pc
Southern Oral Surgery & Implant Specialists PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia