Organization
HICKORY FLAT DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE WITKIN DDS (DENTIST/OWNER)
(678) 891-0272
Entity
Organization
Contact information
Practice address
7840 HIGHWAY 140, MILL CREEK PROFESSIONAL PARK, WOODSTOCK, GA 30188
(678) 891-0272
Mailing address
7840 HIGHWAY 140, MILL CREEK PROFESSIONAL PARK, WOODSTOCK, GA 30188
(678) 891-0272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009491
GA
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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