Organization
VAN DERHEI IMPLANT PROSTHETICS DENTAL LLC
Active
Other names
VIP Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK VAN DERHEI DDS MSD (CO OWNER)
(678) 318-3353
Entity
Organization
Contact information
Practice address
3625 BRASELTON HWY, #102, DACULA, GA 30019
(678) 318-3353
(678) 318-3350
Mailing address
3625 BRASELTON HWY, #102, DACULA, GA 30019
(678) 318-3353
(678) 318-3350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011854
GA
1223P0700X
Prosthodontics
DN012702
GA
Other
Enumeration date
01/26/2006
Last updated
09/11/2025
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