Individual
DR. DEIDRA RONDENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
52 EXECUTIVE PARK SOUTH NE, STE 5203, ATLANTA, GA 30329-2217
(404) 942-0086
(208) 955-2434
Mailing address
52 EXECUTIVE PARK SOUTH NE, STE 5203, ATLANTA, GA 30329-2217
(404) 942-0086
(208) 955-2434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011717
GA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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