| Village Dental | |
|
2500 Dallas Hwy Sw Suite #401 Marietta GA 30064-2567 | |
| (770) 428-4888 | |
| (770) 428-4009 |
| Full Name | Village Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2500 Dallas Hwy Sw, Marietta, Georgia |
| Authorized Official Name and Position | Rina M Mehta (OWNER) |
| Authorized Official Contact | 7704282888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental 2500 Dallas Hwy Sw Suite #401 Marietta GA 30064-2567 Ph: (770) 428-4888 | Village Dental 2500 Dallas Hwy Sw Suite #401 Marietta GA 30064-2567 Ph: (770) 428-4888 |
| NPI Number | 1972692499 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972692499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012655 (Georgia) | Primary |
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