Most Relevant Information
Provider Data
| NPI Number: | 1003424920 |
| Provider Name: | WARREN KRITSANACHAIWANICH DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 36323 |
Most Important Dates
| Enumeration Date: | 07/16/2020 |
| Last Updated: | 07/14/2024 |
Provider Practice Location
3466 COBB PKWY NW STE 170
ACWORTH
GA
301015768
Practice Location Phone/Fax
| Phone: | 7702031711 |
| Fax: |
Provider Mailing Location
1524 FERRARI DR
LEANDER
TX
786413899
Provider Mailing Phone/Fax
| Phone: | 7709064175 |
| Fax: |