Individual
DR. CRYSTAL HAYES PREMPEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S, MPH
Contact information
Practice address
5255 STILESBORO RD NW, SUITE 110, KENNESAW, GA 30152-7737
(770) 499-2152
Mailing address
30 GILMER WAY, ACWORTH, GA 30101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
28408
TX
1223P0221X
Pediatric Dentistry
28408
TX
1223P0221X
Pediatric Dentistry
9909
NC
1223P0221X
Pediatric Dentistry
Primary
DN015291
GA
Other
Enumeration date
01/16/2013
Last updated
05/31/2017
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