Organization
MILTON PEDIATRIC DENTISTRY AND ORTHODONTICS CORP
Active
Other names
Dentistry at MIlton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHANT NATH DMD (OWNER)
(678) 763-2600
Entity
Organization
Contact information
Practice address
980 BIRMINGHAM RD STE 507, MILTON, GA 30004-4418
(678) 352-1090
Mailing address
570 W CROSSVILLE RD STE 203, ROSWELL, GA 30075-7517
(678) 763-2600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013057
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761564386
—
GA
Enumeration date
05/17/2012
Last updated
06/04/2012
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