ANTHONY JOHN DIDATO

DACULA, GA
NPI1376834424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist Endodontics
(Licence: GA  014280)
Enumeration Date2011-04-25
Last Update Date2016-07-13
Business Address
ANTHONY JOHN DIDATO
3625 BRASELTON HWY 101
DACULA, GA 30019-1014
Phone number: 706-993-6488
Mailing Address
ANTHONY JOHN DIDATO
3072 DALE DR NE
ATLANTA, GA 30305-2776
Phone number: