Organization
GA DENTISTRY, LLC
Active
Other names
Ga Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE WITKIN DDS (OWNER)
(770) 433-2414
Entity
Organization
Contact information
Practice address
2460 CUMBERLAND PKWY SE, 210, ATLANTA, GA 30339-4519
(770) 433-2414
Mailing address
2460 CUMBERLAND PKWY SE, 210, ATLANTA, GA 30339-4519
(770) 433-2414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009491
GA
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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