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Individual

ERIC KATSNELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3133 HIGHWAY 278 NW, COVINGTON, GA 30014
(470) 205-8802
Mailing address
22 14TH ST NW, ATLANTA, GA 30309-4688
(718) 753-2445

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122528
GA
1223G0001X
General Practice Dentistry
DN26306
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2020
Last updated
12/14/2021
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