Individual
DIVYA CHAWLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
62 BEGONIA WAY, DALLAS, GA 30132-0990
(770) 241-4774
Mailing address
750 MILTON OAKS DR, JOHNS CREEK, GA 30022-8197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122831
GA
390200000X
Student in an Organized Health Care Education/Training Program
DN122831
GA
Other
Enumeration date
03/01/2022
Last updated
05/26/2026
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