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NPI 1134565807

IndividualActive

Aaron Mulyadi, D.M.D

NPI 1134565807 · Dentist · Atlanta, GA

Provider details

NPI number: 1134565807
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.M.D
Sex: Male
Sole proprietor: Yes
License: DN1856246 (MA)

Practice location

699 Ponce De Leon Ave Ne Ste 1

Atlanta, GA 30308-1800

Phone: (678) 221-4954

More GA providers

Mailing address

1160 Mckendree Park Ln

Lawrenceville, GA 30043-7062

Registry dates

Enumerated: 2013-05-21
Last updated: 2024-05-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aaron Mulyadi, D.M.D — NPI 1134565807, Atlanta, GA | NPI Central