Individual
PATSY USBERGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 BARRETT PARK DR NW, KENNESAW, GA 30144-7080
(770) 421-8653
Mailing address
2105 BARRETT PARK DR NW, KENNESAW, GA 30144-7080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10524
GA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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