Organization
DULUTH DENTAL CLUB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARTH PATEL DMD (OWNER)
(215) 692-2993
Entity
Organization
Contact information
Practice address
2730 PEACHTREE INDUSTRIAL BLVD STE 202, DULUTH, GA 30097-8628
(678) 385-9355
Mailing address
2151 HUNTERS GREEN DR, LAWRENCEVILLE, GA 30043-5181
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/01/2021
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