Organization
BLUE VALLEY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ANDREW LITTON (VICE PRESIDENT)
(678) 879-1177
Entity
Organization
Contact information
Practice address
980 BIRMINGHAM ROAD, SUITE 507, ALPHARETTA, GA 30004
(678) 507-0140
(678) 507-0145
Mailing address
980 BIRMINGHAM ROAD, SUITE 507, ALPHARETTA, GA 30004
(678) 507-0140
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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