Individual
DR. STEVEN DALE ADKISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
840 CHURCH ST NE BLDG E, MARIETTA, GA 30060-8959
(770) 422-7673
Mailing address
840 CHURCH ST NE BLDG E, MARIETTA, GA 30060-8959
(770) 422-7673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9133
GA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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