KATHY BRUSTER

ATLANTA, GA
NPI1720137029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA  11406)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
-- KATHY BRUSTER
1901 PHOENIX BLVD
ATLANTA, GA 30349-5588
Phone number: 770-991-0913
Mailing Address
-- KATHY BRUSTER
912 CARRIAGE PATH SE
SMYRNA, GA 30082-4761
Phone number:
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