Individual
TIA HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5255 STILESBORO RD NW STE 150, KENNESAW, GA 30152-7738
(770) 794-3332
Mailing address
5255 STILESBORO RD NW STE 150, KENNESAW, GA 30152-7738
(770) 794-3332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013581
GA
Other
Enumeration date
06/20/2007
Last updated
10/06/2020
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