Individual
DR. SHARITHA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
117 PAVILION PKWY STE 15C, FAYETTEVILLE, GA 30214-7732
(770) 953-6975
Mailing address
117 PAVILION PKWY STE 15C, FAYETTEVILLE, GA 30214-7732
(770) 953-6975
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015242
GA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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