Individual
DR. CHRISTOPHER DANIEL PESUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
SAGE DENTAL OF TUCKER, 4280 LAVISTA RD STE C117, TUCKER, GA 30084
(678) 688-4811
Mailing address
SAGE DENTAL OF TUCKER, 4280 LAVISTA RD STE C117, TUCKER, GA 30084
(678) 688-4811
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN123392
GA
Other
Enumeration date
08/28/2016
Last updated
05/15/2024
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