| Excellent Dental Providers, Pc | |
|
1001 Main St Ste F Stone Mountain GA 30083-2922 | |
| (770) 469-1331 | |
| Not Available |
| Full Name | Excellent Dental Providers, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1001 Main St Ste F, Stone Mountain, Georgia |
| Authorized Official Name and Position | Peter Dinh (DENTIST) |
| Authorized Official Contact | 6787877858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Dental Providers, Pc 1001 Main St Ste F Stone Mountain GA 30083-2922 Ph: () - | Excellent Dental Providers, Pc 1001 Main St Ste F Stone Mountain GA 30083-2922 Ph: (770) 469-1331 |
| NPI Number | 1366953929 |
|---|---|
| Provider Enumeration Date | 10/22/2017 |
| Last Update Date | 10/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366953929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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