Organization
ABERCAIRN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY VIJENDRA PATEL D.M.D., M.S. (CHAIRMAN)
(678) 793-3053
Entity
Organization
Contact information
Practice address
13075 HIGHWAY 9 N, SUITE 110, MILTON, GA 30004-5145
(678) 793-3053
Mailing address
6470 STAPLEFORD LN, DULUTH, GA 30097-7810
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN0139923
GA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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