Organization
CHILDRENS DENTISTRY AT STONECREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA LYNETTE WINDHAM DMD (OWNER/OPERATOR)
(770) 484-4994
Entity
Organization
Contact information
Practice address
8180 MALL PKWY, 810, LITHONIA, GA 30038-6911
(770) 484-4994
(770) 484-4575
Mailing address
8180 MALL PKWY, 810, LITHONIA, GA 30038-6911
(770) 484-4994
(770) 484-4575
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012294
GA
Other
Enumeration date
05/30/2012
Last updated
03/01/2013
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