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1030 Cambridge Sq Ste B Alpharetta GA 30009-1868 | |
| (678) 735-4560 | |
| (678) 735-4600 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1030 Cambridge Sq Ste B, Alpharetta, Georgia |
| Authorized Official Name and Position | Vishant Nath (DENTIST) |
| Authorized Official Contact | 6787354560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1030 Cambridge Sq Ste B Alpharetta GA 30009-1868 Ph: (678) 735-4560 | 1030 Cambridge Sq Ste B Alpharetta GA 30009-1868 Ph: (678) 735-4560 |
| NPI Number | 1598189284 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598189284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013057 (Georgia) | Primary |
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