Individual
DR. MARVIN ROBERT WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
160 CLAIREMONT AVE, SUITE 140, DECATUR, GA 30030-2500
(404) 373-2667
(404) 373-7022
Mailing address
160 CLAIREMONT AVE, SUITE 140, DECATUR, GA 30030-2500
(404) 373-2667
(404) 373-7022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9991
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182132
UNITED CONCORDIA INSUR CO
—
Enumeration date
07/15/2006
Last updated
07/08/2007
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