Individual
DR. CANDACE S HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
175 BERACAH WALK SW, ATLANTA, GA 30331-8514
(202) 415-5297
Mailing address
175 BERACAH WALK SW, ATLANTA, GA 30331-8514
(202) 415-5297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014368
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
07/19/2007
Last updated
09/19/2012
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