Individual
DR. WENDY MEDDERS MACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
76 NORCROSS ST, ROSWELL, GA 30075-3866
(770) 993-0265
(770) 569-0377
Mailing address
4240 ANCROFT CIR, NORCROSS, GA 30092-2664
(770) 613-0626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012427
GA
Other
Enumeration date
10/01/2006
Last updated
09/26/2008
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