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Organization
ROAM DENTAL APPLIANCES LLC
Active
Organization
ROAM DENTAL APPLIANCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI A PATEL DMD (OWNER)
(317) 364-3740
Entity
Organization
Contact information
Practice address
4536 NELSON BROGDON BLVD BLDG A, BUFORD, GA 30518-7516
(470) 412-5455
Mailing address
4536 NELSON BROGDON BLVD BLDG A, BUFORD, GA 30518-7516
(470) 412-5455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
01/17/2022
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