Individual
IVAN MACHAI WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 JOHNSON FERRY RD STE 660, MARIETTA, GA 30068-2772
(770) 973-6494
Mailing address
1225 JOHNSON FERRY RD STE 660, MARIETTA, GA 30068-2772
(770) 973-6494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123493
GA
Other
Enumeration date
07/05/2023
Last updated
07/17/2024
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