Individual
DR. WARREN KRITSANACHAIWANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3466 COBB PKWY NW STE 170, ACWORTH, GA 30101-5768
(770) 203-1711
Mailing address
1524 FERRARI DR, LEANDER, TX 78641-3899
(770) 906-4175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
36323
TX
1223G0001X
General Practice Dentistry
Primary
DN123359
GA
Other
Enumeration date
07/16/2020
Last updated
07/14/2024
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