Individual
PATRICK VANDERHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3590 BRASELTON HWY STE 103, DACULA, GA 30019-1120
(678) 318-3353
(678) 318-3350
Mailing address
3590 BRASELTON HWY STE 103, DACULA, GA 30019-1120
(678) 318-3353
(678) 318-3350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN012702
GA
1223P0700X
Prosthodontics
Primary
DN012702
GA
Other
Enumeration date
12/20/2006
Last updated
07/19/2012
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