Individual
DR. SANDY MICHELET-VIALVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1755 PARKER RD SE, SUITE A110, CONYERS, GA 30094-6650
(770) 679-5158
(770) 679-4821
Mailing address
1755 PARKER RD SE, SUITE A110, CONYERS, GA 30094-6650
(770) 679-5158
(770) 679-4821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013874
GA
Other
Enumeration date
08/06/2009
Last updated
10/04/2016
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