Individual
DR. EVAN DANIEL GRODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3280 HOWELL MILL RD NW STE 327, ATLANTA, GA 30327-4109
(470) 451-0981
Mailing address
1101 JUNIPER ST NE APT 707, ATLANTA, GA 30309-7659
(770) 851-8383
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DN014335
GA
1223P0700X
Prosthodontics
Primary
DN014335
GA
Other
Enumeration date
01/17/2013
Last updated
09/27/2021
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