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Individual

DR. KENDALL SLATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
3459 ACWORTH DUE WEST RD NW, STE 305, ACWORTH, GA 30101-5819
(770) 975-0175
Mailing address
3459 ACWORTH DUE WEST RD NW, STE 305, ACWORTH, GA 30101-5819

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
9566
TN
122300000X
Dentist
Primary
DN014479
GA

Other

Enumeration date
09/09/2013
Last updated
09/09/2013
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