Fred F Worrall, Dds, Pc

NPI 1861514507 - Dentist - 1223G0001X

NPI Details
NPI 1861514507
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRED FRANCIS FRED
Position OWNER
Phone (770) 792-2300
Fax (770) 792-2436
Practice Location
707 WHITLOCK AVE SW STE D29
MARIETTA GA, 30064-3083, US
Phone (770) 792-2300
Fax (770) 792-2436
Business Location
707 WHITLOCK AVE SW STE D29
MARIETTA GA, 30064-3083, US
Phone (770) 792-2300
Fax (770) 792-2436
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 011402
Remove 1861514507 NPI Number
 

According to our database, Fred F Worrall, Dds, Pc NPI is 1861514507, taxonomy code is 1223G0001X and license number is 011402, license state is located at Georgia. Fred F Worrall, Dds, Pc physically located at 707 Whitlock Ave Sw Ste D29, Marietta GA, 30064-3083. NPI Number 1033115704 has the healthcare provider type.

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1861514507 NPI number is provided on an as is basis without warranty of any kind. 1861514507 is maintained by the National Plan & Provider Enumeration System. The contents of Fred F Worrall, Dds, Pc are for informational purposes only.