| Duluth Pediatric Dentistry Pc | |
|
3796 Satellite Blvd Suite 201 Duluth GA 30096-5699 | |
| (678) 763-2600 | |
| Not Available |
| Full Name | Duluth Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3796 Satellite Blvd, Duluth, Georgia |
| Authorized Official Name and Position | Vishant Nath (OWNER) |
| Authorized Official Contact | 7706482470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duluth Pediatric Dentistry Pc 3796 Satellite Blvd Suite 201 Duluth GA 30096-5699 Ph: (678) 763-2600 | Duluth Pediatric Dentistry Pc 3796 Satellite Blvd Suite 201 Duluth GA 30096-5699 Ph: (678) 763-2600 |
| NPI Number | 1609230143 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609230143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013057 (Georgia) | Primary |
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