Individual
DR. DEANTHIA ANGELA CHILDS-WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3220 COBB PKWY SE STE 205, ATLANTA, GA 30339-3895
(770) 226-0008
(770) 226-0700
Mailing address
PO BOX 7718, MARIETTA, GA 30065-1718
(770) 226-0008
(770) 226-0700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012485
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329140584A
—
GA
Enumeration date
05/02/2007
Last updated
12/20/2021
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