Individual
DR. AARON R MULYADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
699 PONCE DE LEON AVE NE STE 1, ATLANTA, GA 30308-1800
(678) 221-4954
Mailing address
1160 MCKENDREE PARK LN, LAWRENCEVILLE, GA 30043-7062
(404) 374-5353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123363
GA
122300000X
Dentist
DN1856246
MA
Other
Enumeration date
05/21/2013
Last updated
05/10/2024
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