Atlanta West Periodntics and Dental Implants, PC
NPI #1548973878 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1548973878
- Entity Type
- Organization
- Organization Name
- Atlanta West Periodntics and Dental Implants, PC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jan 2, 2023
- Last Updated
- Jan 2, 2023
Practice Location
- Address
- 2168 SKYVIEW DR
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-2638
- Phone
- (770) 739-5097
Authorized Official
- Name
- DR. PHUONG THAO TRAN NGUYEN, DDS, MSD
- Title
- PRESIDENT
- Phone
- (832) 566-7358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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