Organization
VSM ABERDEEN DENTAL LLC
Active
Other names
Aberdeen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI SNOW (CREDENTIALING COORDINATOR)
(404) 410-1340
Entity
Organization
Contact information
Practice address
71 POSTAL PKWY, NEWNAN, GA 30263-2979
(770) 254-9332
Mailing address
112 TOWNPARK DR NW STE 70, KENNESAW, GA 30144-3740
(404) 410-1340
(404) 410-1345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
03/13/2017
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