Organization
DULUTH PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHANT NATH DMD (OWNER)
(770) 648-2470
Entity
Organization
Contact information
Practice address
3796 SATELLITE BLVD, SUITE 201, DULUTH, GA 30096-5699
(678) 763-2600
Mailing address
3796 SATELLITE BLVD, SUITE 201, DULUTH, GA 30096-5699
(678) 763-2600
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013057
GA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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