Individual
DR. MICHAEL W SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4690 WOODSTOCK RD, SUITE 100, ROSWELL, GA 30075
(770) 992-6568
(770) 992-9520
Mailing address
4690 WOODSTOCK RD, SUITE 100, ROSWELL, GA 30075
(770) 992-6568
(770) 992-9520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009014
GA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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