Organization
VAL KOLPAKOV, DDS, MD, PHD, LLC
Active
Other names
Peach State Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAL KOLPAKOV DDS, MD, PHD (OWNER)
(770) 569-5333
Entity
Organization
Contact information
Practice address
401 S MAIN ST STE B1, ALPHARETTA, GA 30009-1958
(770) 569-5333
Mailing address
401 S MAIN ST STE B1, ALPHARETTA, GA 30009-1958
(770) 569-5333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013657
GA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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