Organization
VICTOR D. VAN GREUNINGEN,D.M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR D. VAN GREUNINGEN D.M.D. (CEO)
(770) 454-0510
Entity
Organization
Contact information
Practice address
4294 KINGSTON GATE CV, ATLANTA, GA 30341-1041
(770) 454-0510
Mailing address
4294 KINGSTON GATE CV, ATLANTA, GA 30341-1041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12527
GA
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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