GRANT PARK DENTAL GROUP PC

ATLANTA, GA
NPI1679877005
Entity TypeOrganization
Authorized ContactASHISH PRAVIN VAKHARIA
President
412-716-7907
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN013218)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: GA  DN012466)
Enumeration Date2010-12-28
Last Update Date2010-12-28
Business Address
GRANT PARK DENTAL GROUP PC
465 BOULEVARD SE STE 207A
ATLANTA, GA 30312-3483
Phone number: 404-624-1230
Mailing Address
GRANT PARK DENTAL GROUP PC
465 BOULEVARD SE STE 207A
ATLANTA, GA 30312-3483
Phone number: 404-624-1230