Individual
DR. KENT HEREFORD PERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 WHITLOCK AVE NW, SUITE 380, MARIETTA, GA 30064-5455
(770) 425-4748
(770) 425-4749
Mailing address
1000 WHITLOCK AVE NW, SUITE # 380, MARIETTA, GA 30064-5455
(770) 425-4748
(770) 425-4749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10919
GA
Other
Enumeration date
03/10/2007
Last updated
04/23/2008
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