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Organization
RIVERDALE DENTAL SMILES
Active
Organization
RIVERDALE DENTAL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN R GUDIPATI DMD (OWNER DENTIST)
(404) 966-7766
Entity
Organization
Contact information
Practice address
6650 HIGHWAY 85, RIVERDALE, GA 30274-2382
(770) 997-6222
Mailing address
6650 HIGHWAY 85, RIVERDALE, GA 30274-2382
(770) 997-6222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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