Individual
ANTJUAN HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 NATURAL BROOK TRL, LAWRENCEVILLE, GA 30045-2615
(662) 801-0563
Mailing address
1014 NATURAL BROOK TRL, LAWRENCEVILLE, GA 30045-2615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023016435
MO
Other
Enumeration date
05/01/2020
Last updated
12/04/2023
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