Organization
WOODSTOCK EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANCHITA S DALAL OD (OPTOMETRIST/PRESIDENT)
(770) 694-7208
Entity
Organization
Contact information
Practice address
113 LINCOLN ST, WOODSTOCK, GA 30188-7800
(770) 694-7208
(678) 426-8783
Mailing address
1058 PIEDMONT AVE NE APT 403, ATLANTA, GA 30309-3749
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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