Individual
DR. JOHN ANDERSON CLINEBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
3732 LAVISTA RD, DECATUR, GA 30033-1006
(404) 325-8116
(404) 325-0417
Mailing address
3732 LAVISTA RD, DECATUR, GA 30033-1006
(404) 325-8116
(404) 325-0417
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN010537
GA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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