Individual
DR. ALDA DEDIES UNDERWOOD-HALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2458 WESLEY CHAPEL RD, DECATUR, GA 30035-3423
(770) 593-4976
(770) 593-2295
Mailing address
2458 WESLEY CHAPEL RD, DECATUR, GA 30035-3423
(770) 593-4976
(770) 593-2295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00294962B
—
GA
Enumeration date
01/26/2006
Last updated
07/08/2007
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