Individual
DR. HAROLD WELDON FOUNTAIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4385 HUGH HOWELL RD., TUCKER, GA 30084
(770) 493-7023
(770) 493-7024
Mailing address
4385 HUGH HOWELL RD., TUCKER, GA 30084
(770) 493-7023
(770) 493-7024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008121
GA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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