Individual
DR. MICHAEL DIETER PELLEGRINON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 MCDONOUGH DRIVE, SUITE I, NORCROSS, GA 30093
(770) 448-3030
(770) 447-4906
Mailing address
1650 OAK BROOK DRIVE, SUITE 440, NORCROSS, GA 30093
(770) 446-8000
(770) 446-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10733
GA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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