Individual
DR. RENEE DONNA MARIA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5370 CAMPBELLTON FAIRBURN ROAD, SUITE 130, FAIRBURN, GA 30213
(770) 964-0494
(770) 964-0468
Mailing address
6051 FARMWOOD WAY, MABLETON, GA 30126
(770) 964-0494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012682
GA
Other
Enumeration date
01/29/2007
Last updated
05/05/2008
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