Individual
DR. CRAIG RICHARD FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
747 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 995-0538
(770) 962-3245
Mailing address
747 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4317
(770) 995-0538
(770) 962-3245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014058
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2009
Last updated
09/26/2011
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