Individual
DR. DAVID HAITHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6304 OLD HIGHWAY 5 STE 100, WOODSTOCK, GA 30188-2500
(770) 924-0157
Mailing address
29 CLIFFHANGER POINTE SW, EUHARLEE, GA 30120-6079
(404) 408-5125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015013
GA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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