| Atlanta West Periodntics And Dental Implants, Pc | |
|
2168 Skyview Dr Lithia Springs GA 30122-2638 | |
| (770) 739-5097 | |
| Not Available |
| Full Name | Atlanta West Periodntics And Dental Implants, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2168 Skyview Dr, Lithia Springs, Georgia |
| Authorized Official Name and Position | Phuong Thao Tran Nguyen (PRESIDENT) |
| Authorized Official Contact | 8325667358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta West Periodntics And Dental Implants, Pc 2168 Skyview Dr Lithia Springs GA 30122-2638 Ph: (770) 739-5097 | Atlanta West Periodntics And Dental Implants, Pc 2168 Skyview Dr Lithia Springs GA 30122-2638 Ph: (770) 739-5097 |
| NPI Number | 1548973878 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 01/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548973878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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