Organization
STOCKBRIDGE FAMILY DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHISH PRAVIN VAKHARIA DMD (DENTIST/OWNER)
(412) 716-7907
Entity
Organization
Contact information
Practice address
3579 HIGHWAY 138 SE STE 202, STOCKBRIDGE, GA 30281-6807
(770) 474-6111
(678) 762-0176
Mailing address
3579 HIGHWAY 138 SE STE 202, STOCKBRIDGE, GA 30281-6807
(770) 474-6111
(678) 762-0176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013218
GA
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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