Individual
DR. ERIC ENNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1010 W PEACHTREE ST NW STE C2, ATLANTA, GA 30309-4859
(404) 903-2006
Mailing address
1010 W PEACHTREE ST NW STE C2, ATLANTA, GA 30309-4859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122834
GA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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