Individual
DR. SENGSOURIYA ANANTHASANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5870 CHARLOTTE LANE, SUITE 200, CUMMING, GA 30040
(770) 888-8295
(770) 888-3437
Mailing address
5870 CHARLOTTE LANE, SUITE 200, CUMMING, GA 30040
(770) 888-8295
(770) 888-3437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012307
GA
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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