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Individual

DR. KATHLEEN TANTUCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
6667 VERNON WOODS DR, SUITE A-19, SANDY SPRINGS, GA 30328-3215
(404) 843-8431
(404) 843-8420
Mailing address
6667 VERNON WOODS DR, SUITE A-19, SANDY SPRINGS, GA 30328-3215
(404) 843-8431
(404) 843-8420

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DSO35761
PA
1223G0001X
General Practice Dentistry
Primary
DN014554
GA

Other

Enumeration date
05/22/2007
Last updated
04/21/2014
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