Organization
DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION
Active
Other names
Taylor Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VIETH DDS (PRESIDENT)
(770) 916-5036
Entity
Organization
Contact information
Practice address
9018 MANSFIELD RD, SHREVEPORT, LA 71118-2608
(800) 920-9947
(678) 247-7858
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
07/27/2011
Last updated
01/07/2019
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