Individual
DR. INESSA L PLAVNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1410 TERRELL MILL RD, MARIETTA, GA 30067
(770) 984-9000
(770) 984-9256
Mailing address
1410 TERRELL MILL RD, MARIETTA, GA 30067
(770) 984-9000
(770) 984-9256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12811
GA
1223G0001X
General Practice Dentistry
DN012811
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685791298C
—
GA
Enumeration date
01/04/2007
Last updated
08/21/2019
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