Organization
MOUNT VERNON DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINICK M D'AURIA DDS (DENTIST)
(770) 722-5000
Entity
Organization
Contact information
Practice address
2472 JETT FERRY RD STE 430, DUNWOODY, GA 30338-3059
(770) 396-8061
Mailing address
2472 JETT FERRY RD STE 430, DUNWOODY, GA 30338-3059
(770) 396-8061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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