Individual
DR. LATONYA WADE-CREAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8180 MALL PKWY, SUITE 810, LITHONIA, GA 30038-6911
(770) 484-4994
(770) 484-4575
Mailing address
2647 HUNTERS PLACE LNDG, GRAYSON, GA 30017-7829
(336) 253-6888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012877
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
785926443C
—
GA
Enumeration date
02/23/2007
Last updated
03/31/2017
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