Individual
DR. CARREN RUSSELL LANGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
141 BANKS STA STE 121-122, FAYETTEVILLE, GA 30214-7504
(470) 288-2169
Mailing address
185 ROSCOMMON CT, TYRONE, GA 30290-1881
(404) 895-9636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014166
GA
Other
Enumeration date
08/16/2010
Last updated
02/15/2023
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