Individual
DR. STACEY NEWTON-BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3614 WINDER HWY STE 2210, FLOWERY BRANCH, GA 30542-3011
(770) 932-8869
(770) 932-8870
Mailing address
672 PATHVIEW CT, DACULA, GA 30019-7846
(404) 985-5650
(770) 932-8870
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 012963
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813355373
—
GA
Enumeration date
02/20/2007
Last updated
07/22/2022
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