Organization
EXCELLENT DENTAL PROVIDERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER DINH DDS (DENTIST)
(678) 787-7858
Entity
Organization
Contact information
Practice address
1001 MAIN ST STE F, STONE MOUNTAIN, GA 30083-2922
(770) 469-1331
Mailing address
1001 MAIN ST STE F, STONE MOUNTAIN, GA 30083-2922
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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