Individual
DR. ALVIN JEROME RATTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
209 CREEKSTONE RDG, WOODSTOCK, GA 30188-3744
(770) 928-0871
Mailing address
209 CREEKSTONE RDG, WOODSTOCK, GA 30188-3744
(225) 573-4763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7212
LA
1223G0001X
General Practice Dentistry
D-0006948-C1
AL
1223G0001X
General Practice Dentistry
Primary
DN122656
GA
Other
Enumeration date
05/18/2021
Last updated
10/04/2022
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