Individual
DARRYL H. EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
798 RAYS RD STE 101, STONE MOUNTAIN, GA 30083-3144
(404) 294-1050
(404) 294-4804
Mailing address
798 RAYS RD STE 101, STONE MOUNTAIN, GA 30083-3144
(404) 294-1050
(404) 294-4804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168950874A
—
GA
05
—
168950874K
—
GA
Enumeration date
11/29/2006
Last updated
08/21/2008
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