Individual
DR. EUGENE WITKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1345 HEMBREE RD, ROSWELL, GA 30076-3816
(770) 777-7427
Mailing address
4585 KINGS ABOTT WAY, NORCROSS, GA 30092-1233
(770) 448-3542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009491
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000969724A
—
GA
05
—
000969724D
—
GA
05
—
000969724E
—
GA
05
—
000969724F
—
GA
05
—
000969724G
—
GA
05
—
000969724H
—
GA
Enumeration date
09/13/2006
Last updated
02/03/2021
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