Organization
FAMILY DENTISTRY AT STONECREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA LYNETTE WINDHAM (OWNER)
(678) 323-7144
Entity
Organization
Contact information
Practice address
8052 MALL PKWY, 102, LITHONIA, GA 30038-2649
(678) 323-7144
(678) 323-7162
Mailing address
8052 MALL PKWY, 102, LITHONIA, GA 30038-2649
(678) 323-7144
(678) 323-7162
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012294
GA
Other
Enumeration date
03/06/2013
Last updated
01/23/2017
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