| NPI | 1740251073 |
|---|---|
| Doing Business As | VIP FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATRICK VAN DERHEI Co Owner 678-318-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011854) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: GA DN012702) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |