Individual
DR. ADA JACSIN NWOKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5041 DALLAS HWY, BUILDING 2, SUITE C, POWDER SPRINGS, GA 30127-6458
(678) 522-5389
Mailing address
700 KING SWORD CT SE, MABLETON, GA 30126-6437
(678) 522-5389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013376
GA
Other
Enumeration date
01/04/2007
Last updated
03/07/2013
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