Individual
DR. EMILY CAROLINE MEDENDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
330 CORPORATE CENTER CT, STOCKBRIDGE, GA 30281-6360
(770) 901-2492
Mailing address
2344 HAVENRIDGE DR NW, ATLANTA, GA 30305-4073
(404) 606-6014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123920
GA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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