Van Derhei Implant and Prosthetics

NPI #1710281795 in Dacula, Georgia

Provider Information

NPI Number
1710281795
Entity Type
Organization
Organization Name
Van Derhei Implant and Prosthetics
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 5, 2011
Last Updated
Jul 19, 2012

Practice Location

Address
3590 BRASELTON HWY
Address 2
STE 103
City
Dacula
State
Georgia
ZIP Code
30019-1117
Phone
(678) 318-3353

Authorized Official

Name
DR. PATRICK VAN DERHEI, DDS, MSD
Title
DENTIST
Phone
(678) 318-3353

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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