Organization
NEXDENTAL ASSOCIATES WOODSTOCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVE JOSEPH PELUSO III DMD (100 MANAGING MEMBER)
(770) 926-4447
Entity
Organization
Contact information
Practice address
8950 MAIN ST STE 120, WOODSTOCK, GA 30188-4916
(770) 926-4447
(770) 924-6813
Mailing address
8950 MAIN ST STE 120, WOODSTOCK, GA 30188-4916
(770) 926-4447
(770) 924-6813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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