Individual
DR. VINCENT J. PERCIACCANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 STEVENS ENTRY, PEACHTREE CITY, GA 30269-4050
(770) 487-3807
Mailing address
2447 KINGS ARMS DR NE, ATLANTA, GA 30345-2132
(770) 492-9157
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12138
GA
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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