Organization
SHURETT DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA L TITSHAW (DIRECTOR OF ADMINISTRATION)
(770) 760-7900
Entity
Organization
Contact information
Practice address
1816 LAKEFIELD CT, CONYERS, GA 30013
(770) 860-8760
(770) 760-1375
Mailing address
1816 LAKEFIELD CT, CONYERS, GA 30013
(770) 860-8760
(770) 760-1375
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2006
Last updated
02/03/2009
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