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Provider Information for 1699720326



TAMPA LETITIA RHODES DMD

Gender: FEMALE

Individual NPI: 1699720326

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1699720326
Enumeration Date 2006-05-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1025 VETERANS MEMORIAL HWY STE 320
MABLETON, GA 30126
United States

Phone: 678-945-1708 | Fax:
View Map External Link
Primary Practice Address 3807 CLAIRMONT RD
CHAMBLEE, GA 30341-4911
United States

Phone: 770-454-1144 | Fax: 770-452-4468
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice GA DN011591