Organization
PETER V. VANSTROM, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER V. VANSTROM D.D.S. (CEO)
(404) 325-2905
Entity
Organization
Contact information
Practice address
2296 HENDERSON MILL RD NE STE 108, ATLANTA, GA 30345-2739
(404) 325-2905
(678) 735-3148
Mailing address
2296 HENDERSON MILL RD NE STE 108, ATLANTA, GA 30345-2739
(404) 325-2905
(678) 735-3148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10656
GA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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