Individual
DR. DANIEL RUSSELL WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4958 LAVISTA RD, TUCKER, GA 30084-4403
(770) 493-8500
(770) 270-1572
Mailing address
4958 LAVISTA RD, TUCKER, GA 30084-4403
(770) 493-8500
(770) 270-1572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8300
TN
1223P0300X
Periodontics
DN013221
GA
Other
Enumeration date
04/18/2007
Last updated
02/06/2025
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