Organization
MICHAEL W. SHENK D.D.S. P.C.
Active
Other names
Shenk Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDD W. SHENK D.M.D.. (PRESIDENT)
(770) 992-6568
Entity
Organization
Contact information
Practice address
4690 WOODSTOCK RD, SUITE 100, ROSWELL, GA 30075-1678
(770) 992-6568
(770) 992-9520
Mailing address
4690 WOODSTOCK RD, SUITE 100, ROSWELL, GA 30075-1678
(770) 992-6568
(770) 992-9520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014141
GA
Other
Enumeration date
09/17/2006
Last updated
03/26/2013
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