Organization
ALPHARETTA PEDIATRIC AND FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH VAKHARIA DMD (OWNER)
(412) 716-7907
Entity
Organization
Contact information
Practice address
8560 HOLCOMB BRIDGE RD STE 119, ALPHARETTA, GA 30022-5322
(770) 642-9824
Mailing address
8560 HOLCOMB BRIDGE RD STE 119, ALPHARETTA, GA 30022-5322
(770) 642-9824
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN010318
GA
1223G0001X
General Practice Dentistry
Primary
DN013218
GA
1223P0221X
Pediatric Dentistry
DN015112
GA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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