Individual
DR. FONGALLA NKWETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3845 MEDICAL PARK DR, AUSTELL, GA 30106-1109
(770) 944-3737
Mailing address
1443 OGLETHORPE AVE SW, ATLANTA, GA 30310-2528
(718) 915-6598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34420
TX
1223G0001X
General Practice Dentistry
Primary
DN122240
GA
Other
Enumeration date
07/25/2018
Last updated
09/06/2023
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