Organization
TM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE WINGFIELD DDS (COO)
(667) 777-7676
Entity
Organization
Contact information
Practice address
999 PEACHTREE ST NE, SUITE 800, ATLANTA, GA 30309-3915
(678) 888-6667
Mailing address
999 PEACHTREE ST NE, SUITE 800, ATLANTA, GA 30309-3915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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