Provider Demographics
NPI:1801562624
Name:PARIBUS DENTAL SOLUTIONS
Entity type:Organization
Organization Name:PARIBUS DENTAL SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANH-THU
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:678-716-7700
Mailing Address - Street 1:440 PLEASANT HILL RD NW STE 110
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-2781
Mailing Address - Country:US
Mailing Address - Phone:678-716-7700
Mailing Address - Fax:
Practice Address - Street 1:440 PLEASANT HILL RD NW STE 110
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-2781
Practice Address - Country:US
Practice Address - Phone:678-716-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARIBUS DENTAL SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-20
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental