| NPI | 1710281795 |
|---|---|
| Doing Business As | VIP FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATRICK VAN DERHEI Dentist 678-318-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN011854) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: GA DN012702) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2012-07-19 |