Organization · Type 2 NPI
Van Derhei Implant and Prosthetics
Dental Clinic/Center · Dacula, GA
NPI number
1710281795
Active
Practice location
3590 Braselton Hwy, Ste 103
Dacula, GA 30019-1117
Fax (678) 318-3350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN012702 (GA) |
| Dental Clinic/Center Primary | 261QD0000X | DN011854 (GA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Dacula
About NPI 1710281795
Van Derhei Implant and Prosthetics's National Provider Identifier is 1710281795, issued on Jan 5, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dacula, GA. The record was last updated on Jul 19, 2012.