DR. Michael Dieter Pellegrinon

NPI #1174674931 in Norcross, Georgia

Provider Information

NPI Number: 1174674931
Entity Type: Individual
Name: DR. Michael Dieter Pellegrinon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6060 MCDONOUGH DRIVE
Address 2: SUITE I
City: Norcross
State: Georgia
ZIP Code: 30093
Phone: (770) 448-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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