Individual
SAVANNAH LAUREN SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2419 ROSWELL RD, MARIETTA, GA 30062-4955
(770) 977-5547
Mailing address
140 AVERY ESTATES DR, CANTON, GA 30115-2703
(404) 583-8955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122388
GA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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