SearchGeorgiaGeneral Practice Dentistry

Peter Vanstrom, DDS

NPI 1831289677 · on the registry since 2006 · sole proprietor

Practice

Address
2012 Harobi Drive
Suite A
Tucker, GA 30084
Phone
(404) 325-2905
Organisation at this address
On Target Pediatric Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia