DUSTIN SHANE TIPTON

WOODSTOCK, GA
NPI1992990873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA  DN013497)
Enumeration Date2007-09-13
Last Update Date2007-09-13
Business Address
Dr. DUSTIN SHANE TIPTON DDS
2230 TOWNE LAKE PKWY BLDG 1100 SUITE 100
WOODSTOCK, GA 30189
Phone number: 678-445-5444
Mailing Address
Dr. DUSTIN SHANE TIPTON DDS
PO BOX 195
WOODSTOCK, GA 30188
Phone number: 678-445-5444
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