Individual
DR. KEVIN T SPILLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
335 PARKWAY 575, SUITE 200, WOODSTOCK, GA 30188-6433
(770) 928-4747
(770) 928-0670
Mailing address
335 PARKWAY 575, SUITE 200, WOODSTOCK, GA 30188-6433
(770) 928-4747
(770) 928-0670
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10246
GA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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