# WHITE LIGHTNING PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417173691
- **Authorized official:** HIREN PATEL (PRESIDENT)
- **Authorized official phone:** (770) 938-1848

## Contact information

- **Practice address:** 1462 MONTREAL RD, SUITE 211, TUCKER, GA 30084-6929
- **Practice address phone:** (770) 938-1848
- **Mailing address:** 1462 MONTREAL RD, SUITE 211, TUCKER, GA 30084-6929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN013155 | GA | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 01/28/2010