Individual
DR. O'TISHA JULIANNA PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S,
Contact information
Practice address
5656 JONESBORO RD STE 103, MORROW, GA 30260-3853
(863) 860-7876
Mailing address
5656 JONESBORO RD STE 103, MORROW, GA 30260-3853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
FP1505708
GA
Other
Enumeration date
07/12/2009
Last updated
07/12/2009
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