| Family Dentistry At Stonecrest | |
|
8052 Mall Pkwy 102 Lithonia GA 30038-2649 | |
| (678) 323-7144 | |
| (678) 323-7162 |
| Full Name | Family Dentistry At Stonecrest |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8052 Mall Pkwy, Lithonia, Georgia |
| Authorized Official Name and Position | Sonya Lynette Windham (OWNER) |
| Authorized Official Contact | 6783237144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry At Stonecrest 8052 Mall Pkwy 102 Lithonia GA 30038-2649 Ph: (678) 323-7144 | Family Dentistry At Stonecrest 8052 Mall Pkwy 102 Lithonia GA 30038-2649 Ph: (678) 323-7144 |
| NPI Number | 1588905251 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588905251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012294 (Georgia) | Primary |
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