Pellegrinon, Michael Dieter

Pellegrinon, Michael Dieter is an individual health care provider with primary practice located at 6060 Mcdonough Drive Suite I, Norcross GA 30093. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pellegrinon, Michael Dieter can be contacted via phone (770) 448-3030.

Contact Information

Primary practice address
6060 Mcdonough Drive Suite I Norcross GA 30093
Fax: (770) 447-4906
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN10733 Georgia

Profile Details

NPI number 1174674931
LBN Legal business name Pellegrinon, Michael Dieter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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