Individual
MS. VANESSA DAWN IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 MACLAND RD, POWDER SPRINGS, GA 30127-1202
(770) 222-1344
(770) 222-1345
Mailing address
195 PRESCOTT DR, ACWORTH, GA 30101-2713
(770) 529-5466
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/29/2009
Last updated
08/29/2009
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