Individual
DENA BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH006015
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
02/23/2018
Last updated
02/23/2018
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