Individual
SEAN HARRIS BRECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5255 STILESBORO RD NW, SUITE 150, KENNESAW, GA 30152-7737
(770) 794-3332
Mailing address
1767 EDGEBORO DR NW, KENNESAW, GA 30152-7338
(770) 919-2014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013049
GA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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