Individual
CHRISTY QUYNH ANH VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 FISCHER MARKETPLACE LN STE 100, SHARPSBURG, GA 30277-3680
(470) 347-1079
Mailing address
2565 SPRINGDALE RD SW, ATLANTA, GA 30315-7133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123468
GA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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