Individual
DR. PETER VICTOR VANSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2012 HAROBI DRIVE, SUITE A, TUCKER, GA 30084-5161
(404) 325-2905
Mailing address
2296 HENDERSON MILL RD NE STE 108, ATLANTA, GA 30345-2739
(404) 325-2905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010656
GA
Other
Enumeration date
10/13/2006
Last updated
06/14/2023
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