Individual
STACEY COHEN WEITZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4939 LOWER ROSWELL RD, MARIETTA, GA 30068-4338
(770) 973-0544
Mailing address
4939 LOWER ROSWELL RD, MARIETTA, GA 30068-4338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014264
GA
Other
Enumeration date
04/07/2011
Last updated
04/21/2015
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