NPI 1043571672

Phdentalpc

Organisation General Practice Dentistry Atlanta, GA

Practice location

Address: 2859 Paces Ferry Rd SE Suite 530, Atlanta, GA 30339-5701
Phone: (678) 355-8980
Fax: (770) 405-8855

Authorised official

Name: Harold Perez
Title: Owner
Phone: (678) 355-8980

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN12114 (GA)

Other Dentist providers in Georgia →

Registry record

NPI: 1043571672
Entity type: Organization
NPI issued: 30 May 2012
Record last updated: 30 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.