Individual
DR. CLARENCE ADDISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4045 ORCHARD RD SE STE 300, SMYRNA, GA 30080-4900
(770) 433-0445
Mailing address
4045 ORCHARD RD SE STE 300, SMYRNA, GA 30080-4900
(770) 433-0445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10977
GA
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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