Organization
MOBILE DENTAL OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANFORD PLAVIN MD (PRESIDENT)
(773) 756-5760
Entity
Organization
Contact information
Practice address
6111 PEACHTREE DUNWOODY RD, BLDG E STE 101, ATLANTA, GA 30328-6049
(773) 756-5760
(773) 714-1229
Mailing address
6111 PEACHTREE DUNWOODY RD, BLDG E STE 101, ATLANTA, GA 30328-6049
(773) 756-5760
(773) 714-1229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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