Individual
DR. OMAR PERALTA RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3687 BUFORD DR STE 300, BUFORD, GA 30519-5585
(470) 317-2078
Mailing address
4260 CHATUGE DR, BUFORD, GA 30519-1867
(912) 614-8449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123827
GA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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