Organization
AV DENTAL CARE, PC
Active
Other names
Patient 1st Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYA VALLABHANENI D.D.S., (CEO)
(770) 455-0628
Entity
Organization
Contact information
Practice address
3273 SHALLOWFORD RD NE, ATLANTA, GA 30341-3632
(770) 455-0628
(770) 451-7521
Mailing address
3273 SHALLOWFORD RD NE, ATLANTA, GA 30341-3632
(770) 455-0628
(770) 451-7521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012273
GA
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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