Individual
DR. RENEE ANTOINETTE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3050 MLK JR DR SW STE A, ATLANTA, GA 30311-1500
(404) 756-1400
Mailing address
3050 MLK JR DR SW STE A, ATLANTA, GA 30311-1500
(404) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014675
GA
1223G0001X
General Practice Dentistry
DN014675
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140754A
—
GA
Enumeration date
07/09/2012
Last updated
02/16/2021
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