Organization
STACEY - KINSEY, DMD, PC
Active
Other names
West Atlanta Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W. KINSEY D.M.D. (SEC- TREAS.)
(770) 949-3797
Entity
Organization
Contact information
Practice address
6043 PRESTLEY MILL RD STE A, DOUGLASVILLE, GA 30134-2280
(770) 949-3797
(770) 949-9077
Mailing address
6043 PRESTLEY MILL RD STE A, DOUGLASVILLE, GA 30134-2280
(770) 949-3797
(770) 949-9077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9063
GA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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