Individual
DR. JOHN CLINTON SIEWEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
PIKE PLAZA, 417 PLAZA DR., ZEBULON, GA 30295-3029
(770) 227-9693
Mailing address
636 E COLLEGE ST, GRIFFIN, GA 30224-4311
(770) 639-2248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9102
GA
Other
Enumeration date
09/03/2006
Last updated
05/16/2022
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