Individual
CARL STANLEY MITCHELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1136 CLEVELAND AVE, SUITE 202, EAST POINT, GA 30344-3618
(404) 766-4386
Mailing address
1136 CLEVELAND AVE, SUITE 202, EAST POINT, GA 30344
(404) 766-4386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009761
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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