Individual
EDGAR W. YATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2900 DELK RD SE, SUITE 1450, MARIETTA, GA 30067-5320
(770) 951-1133
(770) 951-9387
Mailing address
2900 DELK RD SE, SUITE 1450, MARIETTA, GA 30067-5320
(770) 951-1133
(770) 951-9387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013557
GA
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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