Organization
JOHN C. SIEWEKE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. SIEWEKE D.D.S. (PRESIDENT)
(770) 786-2754
Entity
Organization
Contact information
Practice address
3218 MILL ST NE, COVINGTON, GA 30014-2538
(770) 786-2754
(770) 786-2711
Mailing address
3218 MILL ST NE, COVINGTON, GA 30014-2538
(770) 786-2754
(770) 786-2711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9102
GA
Other
Enumeration date
09/03/2006
Last updated
08/22/2020
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