Individual
PAMELA CUSHENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3000 CANTON HILLS DR, MARIETTA, GA 30062-6746
(678) 468-2535
Mailing address
3000 CANTON HILLS DR, MARIETTA, GA 30062-6746
(678) 468-2535
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
06110
GA
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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