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Provider Information for 1578669735

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DR. PING HAI D.D.S.

Gender: FEMALE

Individual NPI: 1578669735

Calendar   Last Updated:  2017-02-08
  Certification Date: 

Details

Name Value
NPI 1578669735
Enumeration Date 2006-09-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3600 DALLAS HWY SW SUITE 220
MARIETTA, GA 30064-1675
United States

Phone: 770-428-5656 | Fax:
View Map External Link
Primary Practice Address 3600 DALLAS HWY SW SUITE 220
MARIETTA, GA 30064-1675
United States

Phone: 770-428-5656 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice GA DN012663