Individual
HOLLY MARKWORDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1136 TALIWA TRL NE, MARIETTA, GA 30068-2389
(404) 664-7702
Mailing address
1136 TALIWA TRAIL NE, MARIETTA, GA 30068
(404) 664-7702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
GA10455
GA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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