Healthcare Provider Details

I. General information

NPI: 1730226424
Provider Name (Legal Business Name): GRACE WU MARHIC DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GRACE EDNA WU DDS

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 TANACREST DR
SANDY SPRINGS GA
30328-2838
US

IV. Provider business mailing address

495 TANACREST DR
ATLANTA GA
30328-2838
US

V. Phone/Fax

Practice location:
  • Phone: 404-226-8035
  • Fax:
Mailing address:
  • Phone: 404-226-8035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN012545
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: