Organization
GREG ELWELL, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG ELWELL D.M.D. (OWNER)
(770) 479-5569
Entity
Organization
Contact information
Practice address
24 WALESKA ST, CANTON, GA 30114-2739
(770) 479-5569
(770) 479-3492
Mailing address
24 WALESKA ST, CANTON, GA 30114-2739
(770) 479-5569
(770) 479-3492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011688
GA
Other
Enumeration date
11/01/2006
Last updated
07/10/2008
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