Park Village Dental Group
Park Village Dental Group is a General Practice Dentistry in Duluth, Georgia. Licensed in Georgia. Registered with an NPI since 2012.
- Licensed in
- GA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
2550 Pleasant Hill Rd Ste #115Duluth, GA 30096-4122
Phone: (770) 814-7791
Fax: (770) 814-7792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 012497 (GA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 013551 (GA) |
Record details
| NPI number | 1225399082 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nancy Ahn — Office Manager · (770) 814-7791 |
| NPI enumerated | June 7, 2012 |
| Last updated in NPPES | June 7, 2012 |
| Mailing address | 2550 Pleasant Hill Rd, Suite #115, Duluth, GA 30096-4122 |
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-
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-
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Neda Raeisian
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-
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Dr. Christopher Sandvi, DMD
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