Organization
PERIMETER PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHANT NATH DMD (OWNER)
(678) 763-2600
Entity
Organization
Contact information
Practice address
2221 JOHNSON FERRY RD NE, STE 2-A, ATLANTA, GA 30319-2203
(678) 763-2600
(678) 893-0459
Mailing address
10930 CRABAPPLE RD, STE106, ROSWELL, GA 30075-5813
(678) 763-2600
(678) 352-1029
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN 13057
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761564386
—
GA
Enumeration date
09/07/2010
Last updated
09/07/2010
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