Atlanta Dental Fitness | |
2296 Henderson Mill Rd Ne Ste 109 Atlanta GA 30345-2739 | |
(678) 578-5388 | |
(404) 393-5128 |
Full Name | Atlanta Dental Fitness |
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Speciality | Clinic/center - Dental |
Location | 2296 Henderson Mill Rd Ne Ste 109, Atlanta, Georgia |
Authorized Official Name and Position | Peter V Vanstrom (DOCTOR) |
Authorized Official Contact | 6785785388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Atlanta Dental Fitness 2296 Henderson Mill Rd Ne Ste 109 Atlanta GA 30345-2739 Ph: (678) 578-5388 | Atlanta Dental Fitness 2296 Henderson Mill Rd Ne Ste 109 Atlanta GA 30345-2739 Ph: (678) 578-5388 |
NPI Number | 1891336830 |
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Provider Enumeration Date | 10/01/2019 |
Last Update Date | 10/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891336830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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