Organization
DR. DAVID M. VIETH 2, PC
Active
Other names
Porter Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M. VIETH DDS (OWNER)
(770) 916-5036
Entity
Organization
Contact information
Practice address
4173 PATTERSON AVE, BALTIMORE, MD 21215-2221
(800) 920-9973
Mailing address
1090 NORTHCHASE PKWY SE, MARIETTA, GA 30067-6405
(770) 916-5028
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/27/2009
Last updated
04/03/2019
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