Individual
SONYA LYNNETTE WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8180 MALL PKWY, SUITE 810, LITHONIA, GA 30038-6911
(770) 484-4994
(770) 484-4575
Mailing address
8180 MALL PKWY, SUITE 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000905011C
—
GA
Enumeration date
09/01/2006
Last updated
01/02/2014
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