WAYNE THEODORE TADSEN

LAWRENCEVILLE, GA
NPI1447373121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN008626)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
-- WAYNE THEODORE TADSEN D.M.D.
102 GORDON ST
LAWRENCEVILLE, GA 30045-6910
Phone number: 770-995-6215
Mailing Address
-- WAYNE THEODORE TADSEN D.M.D.
102 GORDON ST
LAWRENCEVILLE, GA 30045-6910
Phone number: 770-995-6215
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