Individual
TITUS WONGK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5901 PEACHTREE DUNWOODY RD STE B250, ATLANTA, GA 30328-7150
(470) 713-6770
Mailing address
5901 PEACHTREE DUNWOODY RD STE B250, ATLANTA, GA 30328-7150
(470) 713-6770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D123381
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/18/2017
Last updated
12/18/2025
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