| Park Village Dental Group | |
|
2550 Pleasant Hill Rd Suite #115 Duluth GA 30096-4122 | |
| (770) 814-7791 | |
| (770) 814-7792 |
| Full Name | Park Village Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2550 Pleasant Hill Rd, Duluth, Georgia |
| Authorized Official Name and Position | Nancy Ahn (OFFICE MANAGER) |
| Authorized Official Contact | 7708147791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Village Dental Group 2550 Pleasant Hill Rd Suite #115 Duluth GA 30096-4122 Ph: (770) 814-7791 | Park Village Dental Group 2550 Pleasant Hill Rd Suite #115 Duluth GA 30096-4122 Ph: (770) 814-7791 |
| NPI Number | 1225399082 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225399082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012497 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | 013551 (Georgia) | Secondary |
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