| Periodontal Specialists Of Vinings | |
|
100 Galleria Pkwy Se Suite 250 Atlanta GA 30339-3179 | |
| (678) 236-0500 | |
| (678) 236-0586 |
| Full Name | Periodontal Specialists Of Vinings |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 100 Galleria Pkwy Se, Atlanta, Georgia |
| Authorized Official Name and Position | Husam Bezreh (OWNER) |
| Authorized Official Contact | 6786779288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Specialists Of Vinings 100 Galleria Pkwy Se Suite 250 Atlanta GA 30339-3179 Ph: (678) 236-0500 | Periodontal Specialists Of Vinings 100 Galleria Pkwy Se Suite 250 Atlanta GA 30339-3179 Ph: (678) 236-0500 |
| NPI Number | 1205231271 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205231271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (Georgia) | Primary |
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