Individual
DR. KENDRA DAWN DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3833 ROSWELL RD NE, SUITE 100, ATLANTA, GA 30342-4432
(404) 261-6794
Mailing address
3833 ROSWELL RD NE, SUITE 100, ATLANTA, GA 30342-4432
(404) 261-6794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012259
GA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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