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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice GA DN011591
Other Identifiers
Issuer State Number