Individual
DR. MITCHEL PATRIE HOUSE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1341 CLAIRMONT RD STE C, DECATUR, GA 30033-5311
(404) 315-8499
Mailing address
1341 CLAIRMONT RD STE C, DECATUR, GA 30033-5311
(404) 315-8499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010795
GA
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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