Individual
DR. BRUCE ALAN EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2045 PEACHTREE RD NE, SUITE 416, ATLANTA, GA 30309-1414
(404) 352-1911
(404) 352-3661
Mailing address
2045 PEACHTREE RD NE, SUITE 416, ATLANTA, GA 30309-1414
(404) 352-1911
(404) 352-3661
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN009420
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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