Individual
HOWARD D MANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2220 ATLANTA RD SE, SUITE 104, SMYRNA, GA 30080-1520
(770) 435-6888
(770) 435-6888
Mailing address
2220 ATLANTA RD SE, SUITE 104, SMYRNA, GA 30080-1520
(770) 435-6888
(770) 435-6888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DNO11306
GA
1223G0001X
General Practice Dentistry
Primary
DNO11404
GA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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