Organization
DOUGLAS R WURSTER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R WURSTER DDS (DENTIST/PRESIDENT)
(770) 934-4646
Entity
Organization
Contact information
Practice address
2183 NORTHLAKE PKWY, STE 108, TUCKER, GA 30084-4108
(770) 934-4646
(770) 939-6283
Mailing address
2183 NORTHLAKE PKWY, STE 108, TUCKER, GA 30084-4108
(770) 934-4646
(770) 939-6283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008564
GA
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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