Periodontal Specialists Of Vinings

NPI 1205231271 - Dentist - 1223P0300X

NPI Details
NPI 1205231271
Enumeration Date 11/03/2014
Last Updated 03/17/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HUSAM HUSAM
Position OWNER
Phone (678) 236-0500
Fax (678) 236-0586
Practice Location
100 GALLERIA PKWY SE
SUITE 250
ATLANTA GA, 30339-3179, US
Phone (678) 236-0500
Fax (678) 236-0586
Business Location
100 GALLERIA PKWY SE
SUITE 250
ATLANTA GA, 30339-3179, US
Phone (678) 236-0500
Fax (678) 236-0586
Toxanomy
Taxonomy Code 1223P0300X
License State
License Number
Remove 1205231271 NPI Number
 

According to our database, Periodontal Specialists Of Vinings NPI is 1205231271, taxonomy code is 1223P0300X Periodontal Specialists Of Vinings physically located at 100 Galleria Pkwy Se, Atlanta GA, 30339-3179. NPI Number 1033115704 has the healthcare provider type.

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1205231271 NPI number is provided on an as is basis without warranty of any kind. 1205231271 is maintained by the National Plan & Provider Enumeration System. The contents of Periodontal Specialists Of Vinings are for informational purposes only.