Individual
DR. KIRK A SUDEALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 MARBLE MILL RD NW STE B, MARIETTA, GA 30060-1000
(770) 590-9848
Mailing address
4460 RIDERS RIDGE TRL, SNELLVILLE, GA 30039-8580
(770) 978-9833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011931
GA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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