DR. Mitchel Patrie House III, DMD

NPI #1962607689 in Decatur, Georgia

Provider Information

NPI Number: 1962607689
Entity Type: Individual
Name: DR. Mitchel Patrie House III, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1341 CLAIRMONT RD STE C
City: Decatur
State: Georgia
ZIP Code: 30033-5311
Phone: (404) 315-8499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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