Individual
DR. YERITXA ENID VIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9579 GA-5 SUITE 701, DOUGLASVILLE, GA 30135-3013
(770) 746-8161
Mailing address
2905 LEGION LAKE RD, DOUGLASVILLE, GA 30135-2984
(939) 717-5599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2739
PR
122300000X
Dentist
4502
SC
1223P0300X
Periodontics
25877
TX
1223P0300X
Periodontics
Primary
DN013615
GA
Other
Enumeration date
04/12/2007
Last updated
03/28/2023
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