Individual
MONICA MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12 ROUNTREE RD, RIVERDALE, GA 30274-4036
(678) 479-7001
(678) 479-7007
Mailing address
12 ROUNTREE RD, RIVERDALE, GA 30274-4036
(678) 479-7001
(678) 479-7007
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012467
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000925735A
—
GA
05
—
000925735G
—
GA
Enumeration date
07/26/2006
Last updated
04/20/2011
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