Individual
DR. DONALD DOUGLAS DEPEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS PC
Contact information
Practice address
2748 WATTS DR NW, KENNESAW, GA 30144-2721
(770) 422-3939
(770) 422-5513
Mailing address
2748 WATTS DR NW, KENNESAW, GA 30144-2721
(770) 422-3939
(770) 422-5513
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10671
GA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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