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Organization
COMPREHENSIVE DENTAL CENTER
Active
Organization
COMPREHENSIVE DENTAL CENTER
Active
Other names
Lilburn Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETANKUMAR PATEL D.M.D. (OWNER)
(770) 925-4773
Entity
Organization
Contact information
Practice address
629 BEAVER RUIN RD NW, SUITE A, LILBURN, GA 30047-3401
(770) 925-4773
(770) 925-8773
Mailing address
629 BEAVER RUIN RD NW, SUITE A, LILBURN, GA 30047-3401
(770) 925-4773
(770) 925-8773
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN012835
GA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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