Individual
DR. MARGARETTA EARLISA WATKINS-TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5830 MILLSTONE RUN, STONE MOUNTAIN, GA 30087-1827
(404) 451-5690
Mailing address
5830 MILLSTONE RUN, STONE MOUNTAIN, GA 30087-1827
(404) 451-5690
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013965
GA
1223P0221X
Pediatric Dentistry
P70713
NY
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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