Organization
GARFIELD ROAD DENTAL - 1
Active
Other names
Woolbrook Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VIETH DDS (CHIEF DENTAL OFFICER)
(770) 916-5036
Entity
Organization
Contact information
Practice address
41781 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1964
(770) 916-9000
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-9000
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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