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Itarut Dental Llc
Dental Clinic/Center in Tucker, Georgia
NPI 1164986113

Itarut Dental Llc is a Dental Clinic/Center based in Tucker, GA and is specialized in Dental. Itarut Dental Llc practices in Tucker, GA. The NPI Number for Itarut Dental Llc is 1164986113 and holds a License No. (Georgia).

The current practice location address for Itarut Dental Llc is 3756 La Vista Rd, Tucker, GA and can be reached out via phone at 404-636-4700.

Location: 3756 La Vista Rd, Tucker, GA, 30084-5642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164986113
Provider Name
Itarut Dental Llc
Credential
Provider Entity Type
Organization
Address
3756 La Vista Rd, Tucker, GA, 30084-5642
Phone Number
404-636-4700
Fax Number
Provider Enumeration Date
01/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3756 La Vista Rd
City
Tucker
State
Georgia
Zip
30084-5642
Phone Number
404-636-4700
Fax Number
person
Provider Business Mailing Address Details
Address
3756 La Vista Rd
City
Tucker
State
Georgia
Zip
30084-5642
Phone Number
404-636-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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