Individual
ZELDA MARIE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
465 BLVD SE, STE 207A, ATLANTA, GA 30312
(404) 624-1230
(404) 624-1210
Mailing address
465 BLVD SE, STE 207A, ATLANTA, GA 30312
(404) 624-1230
(404) 624-1210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012466
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000931301D
—
GA
Enumeration date
09/06/2006
Last updated
07/08/2007
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