Individual
WILKIE J STADEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 MARBLE MILL RD NW, SUITE B, MARIETTA, GA 30060-7954
(678) 354-5119
(678) 354-5191
Mailing address
123 MARBLE MILL RD NW, SUITE B, MARIETTA, GA 30060-7954
(678) 354-5119
(678) 354-5191
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
011447
GA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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