Individual
DR. HANK R. DALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1040 EAGLES LANDING PKWY, SUITE 200, STOCKBRIDGE, GA 30281-9072
(770) 968-3302
(770) 441-0299
Mailing address
1611 WATERFORD LNDG, MCDONOUGH, GA 30253-7726
(770) 331-2529
(770) 441-0299
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013071
GA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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