Individual
DR. PETER MADRID DARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D,PHARM.D.
Contact information
Practice address
2015 HABERSHAM GATE DR, CUMMING, GA 30041-8076
(770) 887-3602
Mailing address
2015 HABERSHAM GATE DR, CUMMING, GA 30041-8076
(770) 887-3602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010769
GA
183500000X
Pharmacist
RPH014665
GA
Other
Enumeration date
02/21/2007
Last updated
12/31/2007
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