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Organization
ATLANTA WEST PERIODNTICS AND DENTAL IMPLANTS, PC
Active
Organization
ATLANTA WEST PERIODNTICS AND DENTAL IMPLANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHUONG THAO TRAN NGUYEN DDS, MSD (PRESIDENT)
(832) 566-7358
Entity
Organization
Contact information
Practice address
2168 SKYVIEW DR, LITHIA SPRINGS, GA 30122-2638
(770) 739-5097
Mailing address
2168 SKYVIEW DR, LITHIA SPRINGS, GA 30122-2638
(770) 739-5097
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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