Individual
MERIDITH LONG DAUTOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
3350 RIVERWOOD PKWY SE, SUITE 2130, ATLANTA, GA 30339-6401
(770) 850-9119
Mailing address
3350 RIVERWOOD PKWY SE, SUITE 2130, ATLANTA, GA 30339-6401
(770) 850-9119
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN012254
GA
Other
Enumeration date
10/31/2013
Last updated
05/06/2015
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