DR. Sandy Michelet-Vialva, D.M.D

NPI #1578794673 in Conyers, Georgia

Provider Information

NPI Number: 1578794673
Entity Type: Individual
Name: DR. Sandy Michelet-Vialva, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Aug 6, 2009
Last Updated: Oct 4, 2016

Practice Location

Address: 1755 PARKER RD SE
Address 2: SUITE A110
City: Conyers
State: Georgia
ZIP Code: 30094-6650
Phone: (770) 679-5158

Specialties & Taxonomy Codes

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

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