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Organization
STOCKBRIDGE DENTAL LLC
Active
Organization
STOCKBRIDGE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIMA B PATEL D.M.D. (DENTIST)
(770) 389-1980
Entity
Organization
Contact information
Practice address
150 COUNTRY CLUB DR, SUITE 201, STOCKBRIDGE, GA 30281-9089
(770) 389-1980
(770) 389-5128
Mailing address
150 COUNTRY CLUB DR, SUITE 201, STOCKBRIDGE, GA 30281-9089
(770) 389-1980
(770) 389-5128
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
010866
GA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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