Organization
VSM ABERDEEN DENTAL LLC
Active
Other names
Aberdeen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI SNOW (CREDENTIALING COORDINATOR)
(404) 410-1340
Entity
Organization
Contact information
Practice address
300 NORTHLAKE DR, PEACHTREE CITY, GA 30269-3524
(770) 487-8298
Mailing address
112 TOWNPARK DR NW STE 70, KENNESAW, GA 30144-3740
(404) 410-1340
(404) 410-1345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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