Wayne T. Tadsen Dmd PC
NPI #1407979099 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1407979099
- Entity Type
- Organization
- Organization Name
- Wayne T. Tadsen Dmd PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 102 GORDON ST
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30045-6910
- Phone
- (770) 995-6215
Authorized Official
- Name
- DR. WAYNE THEODORE TADSEN, DMD
- Title
- PRESIDENT, OWNER
- Phone
- (770) 995-6215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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