Park Village Dental Group

NPI 1225399082 - Dentist - 1223G0001X

NPI Details
NPI 1225399082
Enumeration Date 06/07/2012
Last Updated 06/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NANCY NANCY
Position OFFICE MANAGER
Phone (770) 814-7791
Fax (770) 814-7792
Practice Location
2550 PLEASANT HILL RD
SUITE #115
DULUTH GA, 30096-4122, US
Phone (770) 814-7791
Fax (770) 814-7792
Business Location
2550 PLEASANT HILL RD
SUITE #115
DULUTH GA, 30096-4122, US
Phone (770) 814-7791
Fax (770) 814-7792
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 013551
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According to our database, Park Village Dental Group NPI is 1225399082, taxonomy code is 1223G0001X and license number is 013551, license state is located at Georgia. Park Village Dental Group physically located at 2550 Pleasant Hill Rd, Duluth GA, 30096-4122. NPI Number 1033115704 has the healthcare provider type.

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1225399082 NPI number is provided on an as is basis without warranty of any kind. 1225399082 is maintained by the National Plan & Provider Enumeration System. The contents of Park Village Dental Group are for informational purposes only.