Organization
ATLANTA DENTAL FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER V VANSTROM (DOCTOR)
(678) 578-5388
Entity
Organization
Contact information
Practice address
2296 HENDERSON MILL RD NE STE 109, ATLANTA, GA 30345-2739
(678) 578-5388
(404) 393-5128
Mailing address
2296 HENDERSON MILL RD NE STE 109, ATLANTA, GA 30345-2739
(678) 578-5388
(404) 393-5128
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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